Provider Demographics
NPI:1932217544
Name:ABDELKARIM, BASIM ZUHDI (MD)
Entity Type:Individual
Prefix:
First Name:BASIM
Middle Name:ZUHDI
Last Name:ABDELKARIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 SAN BERNARDINO RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4979
Mailing Address - Country:US
Mailing Address - Phone:909-920-0444
Mailing Address - Fax:909-920-5044
Practice Address - Street 1:1310 SAN BERNARDINO RD
Practice Address - Street 2:SUITE 103
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4979
Practice Address - Country:US
Practice Address - Phone:909-920-0444
Practice Address - Fax:909-920-5044
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74259174400000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI37031Medicare UPIN
CAI37031Medicare UPIN