Provider Demographics
NPI:1184701336
Name:KARIM, FARHAD (MD)
Entity type:Individual
Prefix:
First Name:FARHAD
Middle Name:
Last Name:KARIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2387 PROFESSIONAL HEIGHTS DRIVE
Mailing Address - Street 2:SUITE #60
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3004
Mailing Address - Country:US
Mailing Address - Phone:859-277-1137
Mailing Address - Fax:859-278-0111
Practice Address - Street 1:2387 PROFESSIONAL HEIGHTS DRIVE
Practice Address - Street 2:SUITE #60
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3004
Practice Address - Country:US
Practice Address - Phone:859-277-1137
Practice Address - Fax:859-278-0111
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY215632080P0201X, 207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64215635Medicaid
KY64215635Medicaid
KY1254202Medicare ID - Type Unspecified