Individual
KAREEM A ANDERSON
Active
Individual
KAREEM A ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
4569
AZ
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363A00000X
Physician Assistant
4569
AZ
363AM0700X
Medical Physician Assistant
4569
AZ
363AS0400X
Surgical Physician Assistant
4569
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764230
—
AZ
01
—
P00901666
MEDICARE RAILROAD
IL
Enumeration date
10/07/2009
Last updated
01/22/2025
Update your record
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