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Organization

KARIM MOSHREF MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIR ABDUL KARIM MOSHREF M.D. (PRESIDENT/CEO)
(260) 478-9960
Entity
Organization

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
261QP2300X
Primary Care Clinic/Center
Primary
01042546
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100332850
IN
Enumeration date
12/02/2013
Last updated
12/02/2013
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