Provider Demographics
NPI:1831426774
Name:KARIM, SHAHNAWAZ (MBBS)
Entity type:Individual
Prefix:
First Name:SHAHNAWAZ
Middle Name:
Last Name:KARIM
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 KENYON RD
Mailing Address - Street 2:FORT DODGE
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-5776
Mailing Address - Country:US
Mailing Address - Phone:515-574-8444
Mailing Address - Fax:515-573-5675
Practice Address - Street 1:800 KENYON RD
Practice Address - Street 2:FORT DODGE
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-5776
Practice Address - Country:US
Practice Address - Phone:515-574-8444
Practice Address - Fax:515-573-5675
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-41856204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM