Organization
KMS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREEM SHAARAWY M.D. (PRESIDENT)
(858) 337-2452
Entity
Organization
Contact information
Practice address
5350 E DEER VALLEY DR UNIT 4275, PHOENIX, AZ 85054-4167
(858) 337-2452
Mailing address
5350 E DEER VALLEY DR UNIT 4275, PHOENIX, AZ 85054-4167
(858) 337-2452
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
A120807
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
45249
AZ
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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