| Karim Moshref Md Pc | |
|
2110 Lower Huntington Rd Fort Wayne IN 46819-1235 | |
| (260) 478-9960 | |
| (260) 478-9670 |
| Full Name | Karim Moshref Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2110 Lower Huntington Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Mir Abdul Karim Moshref (PRESIDENT/CEO) |
| Authorized Official Contact | 2604789960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karim Moshref Md Pc 2110 Lower Huntington Rd Fort Wayne IN 46819-1235 Ph: (260) 478-9960 | Karim Moshref Md Pc 2110 Lower Huntington Rd Fort Wayne IN 46819-1235 Ph: (260) 478-9960 |
| NPI Number | 1265863187 |
|---|---|
| Provider Enumeration Date | 12/02/2013 |
| Last Update Date | 12/02/2013 |
| Medicare PECOS PAC ID | 4486881802 |
|---|---|
| Medicare Enrollment ID | O20131210001728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265863187 | NPI | - | NPPES |
| 100332850 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 01042546 (Indiana) | Primary |
| Provider Name | Mir Abdul Karim Moshref |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073610689 PECOS PAC ID: 0244140580 Enrollment ID: I20050707000523 |
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