Provider Demographics
NPI:1912025974
Name:HUSAIN, KAREEM D (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREEM
Middle Name:D
Last Name:HUSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8549 BRYAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1348
Mailing Address - Country:US
Mailing Address - Phone:314-610-9147
Mailing Address - Fax:
Practice Address - Street 1:8549 BRYAN AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1348
Practice Address - Country:US
Practice Address - Phone:314-610-9147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009014874208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILENROLLEDMedicaid
MO1912025974Medicaid
IL$$$$$$$$$Medicaid
MO101740053Medicare PIN