Individual
DR. KARIMAH Z SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6600 LYNDALE AVE S STE 130, RICHFIELD, MN 55423-3398
(612) 788-8778
Mailing address
4354 QUEEN AVE N, MINNEAPOLIS, MN 55412-1106
(216) 394-9593
(866) 991-7241
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
985
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001005944
ANTHEM BCBS
OH
05
—
0116788
—
OH
05
—
1134412802
—
MN
Enumeration date
05/27/2011
Last updated
10/29/2018
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