Provider Demographics
NPI:1558362392
Name:KARIMI, MARIA A (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:KARIMI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 KINGS DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-5225
Mailing Address - Country:US
Mailing Address - Phone:845-239-3912
Mailing Address - Fax:845-883-5323
Practice Address - Street 1:14 KINGS DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-5225
Practice Address - Country:US
Practice Address - Phone:845-239-3912
Practice Address - Fax:845-883-5323
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238014207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00355931Medicaid
NY331886Medicare Oscar/Certification
NY00355931Medicaid