Provider Demographics
NPI:1649782293
Name:ANIS ABI-KARAM LTD
Entity type:Organization
Organization Name:ANIS ABI-KARAM LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ABI-KARAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-248-8866
Mailing Address - Street 1:2740 S JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5306
Mailing Address - Country:US
Mailing Address - Phone:702-248-8866
Mailing Address - Fax:702-248-9640
Practice Address - Street 1:2740 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5306
Practice Address - Country:US
Practice Address - Phone:702-248-8866
Practice Address - Fax:702-248-9640
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANIS ABI-KARAM LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-03
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health