Provider Demographics
NPI:1922044932
Name:KARIMKHANI, KOBRA (MD)
Entity Type:Individual
Prefix:DR
First Name:KOBRA
Middle Name:
Last Name:KARIMKHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 BEAVER GRADE RD
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2716
Mailing Address - Country:US
Mailing Address - Phone:412-262-3230
Mailing Address - Fax:412-262-1451
Practice Address - Street 1:938 BEAVER GRADE RD
Practice Address - Street 2:
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-2716
Practice Address - Country:US
Practice Address - Phone:412-262-3230
Practice Address - Fax:412-262-1451
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033296L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000725240Medicaid
PAB39806Medicare UPIN
PA000147965Medicare ID - Type Unspecified