Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 200001378 | NC |
NPI | 1063483113 |
---|---|
Provider Name | Dr. Abdul Karim Garuba |
First Address | Matthews, NC 28105-6726 |
Second Address | Matthews, NC 28105-9704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 08/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89132MM | (05) | NC |
F88404 | (02) | NC |