Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | MD-45927 | IA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 056120 | GA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD-45927 | IA |
NPI | 1366400129 |
---|---|
Provider Name | Mohsen Karimi |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 08/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
434655505F | (05) | GA |