Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M7345 | TX |
N | 111NI0900X | Internist | M7345 | TX |
N | 207R00000X | Internist | MD.204520 | LA |
N | 111NI0900X | Internist | MD.204520 | LA |
N | 207R00000X | Internist | MT183333 | PA |
N | 111NI0900X | Internist | MT183333 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD.204520 | LA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD.204520 | LA |
NPI | 1366643025 |
---|---|
Provider Name | Selim Ramzi Krim |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121-2429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 08/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00073061 | (05) | MS |
188428001 | (05) | TX |
188428003 | (05) | TX |
2148524 | (05) | LA |
8AH678 | BLUE CROSS BLUE SHIELD (01) | TX |
KR-08K0245 | (02) | TX |