Provider Demographics
NPI:1720428899
Name:KARIM, SADIA (OD)
Entity Type:Individual
Prefix:
First Name:SADIA
Middle Name:
Last Name:KARIM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 FORTUNA CENTER PLZ
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-1538
Mailing Address - Country:US
Mailing Address - Phone:703-590-6582
Mailing Address - Fax:
Practice Address - Street 1:4310 FORTUNA CENTER PLZ
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-1538
Practice Address - Country:US
Practice Address - Phone:703-590-6582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA06180002261152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist