Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 25437 | OK |
N | 207RC0000X | Internist - Cardiovascular Disease | 38663 | KY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 50524 | MN |
NPI | 1174746200 |
---|---|
Provider Name | Rehan Mehboob Karim |
First Address | Minneapolis, MN 55415-1623 |
Second Address | Minneapolis, MN 55415-1623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 11/10/2012 |