Individual
MIR ABDUL KARIM MOSHREF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2110 LOWER HUNTINGTON RD, FORT WAYNE, IN 46819-1235
(260) 478-9960
(260) 478-9670
Mailing address
2110 LOWER HUNTINGTON RD, FORT WAYNE, IN 46819-1235
(260) 478-9960
(260) 478-9670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042546
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176706
ANTHEM
IN
05
—
100332850
—
IN
Enumeration date
09/19/2006
Last updated
12/09/2013
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