Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 21563 | KY |
Y | 2080P0201X | Pediatric Allergist | 21563 | KY |
NPI | 1184701336 |
---|---|
Provider Name | Farhad Karim |
First Address | Lexington, KY 40503-3004 |
Second Address | Lexington, KY 40503-3004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 29/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64215635 | (05) | KY |
C66018 | (02) |