Provider Demographics
NPI:1295934263
Name:KAREEM, ANU N ANUSHA (DMD)
Entity type:Individual
Prefix:MRS
First Name:ANU N ANUSHA
Middle Name:
Last Name:KAREEM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 CONSHOHOCKEN AVE
Mailing Address - Street 2:APT #343
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-5343
Mailing Address - Country:US
Mailing Address - Phone:215-966-1492
Mailing Address - Fax:
Practice Address - Street 1:3601 CONSHOHOCKEN AVE
Practice Address - Street 2:APT #343
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-5343
Practice Address - Country:US
Practice Address - Phone:215-966-1492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037283122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist