Provider Demographics
NPI:1235794181
Name:KARIM, MUNTARIN
Entity type:Individual
Prefix:
First Name:MUNTARIN
Middle Name:
Last Name:KARIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 LYNN RD STE 240
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-8021
Mailing Address - Country:US
Mailing Address - Phone:805-370-1965
Mailing Address - Fax:805-370-1984
Practice Address - Street 1:2190 LYNN RD STE 240
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-8021
Practice Address - Country:US
Practice Address - Phone:805-370-1965
Practice Address - Fax:805-370-1984
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19630207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology