Provider Demographics
NPI:1184601775
Name:ABOUELENIN, KARIM H (MD)
Entity type:Individual
Prefix:DR
First Name:KARIM
Middle Name:H
Last Name:ABOUELENIN
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 1:1613 HARRISON PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2853
Mailing Address - Country:US
Mailing Address - Phone:954-838-2502
Mailing Address - Fax:954-851-1758
Practice Address - Street 1:1613 HARRISON PKWY STE 200
Practice Address - Street 2:SHERIDAN HEALTH CORP.
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2853
Practice Address - Country:US
Practice Address - Phone:954-838-2502
Practice Address - Fax:954-851-1758
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83859207L00000X
CT55960207L00000X
VA0101246446207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2696452-00Medicaid
FL108110Medicare UPIN