Basic Information
| Provider Information | |||||||||
| NPI: | 1821136854 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KARIM | ||||||||
| FirstName: | TANIZA | ||||||||
| MiddleName: | N | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3700 BELLEMEADE AVE | ||||||||
| Address2: | STE 117 | ||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477140106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124857254 | ||||||||
| FaxNumber: | 8124857225 | ||||||||
| Practice Location | |||||||||
| Address1: | 3700 BELLEMEADE AV | ||||||||
| Address2: | STE 117 | ||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477140106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124857254 | ||||||||
| FaxNumber: | 8124857225 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2007 | ||||||||
| LastUpdateDate: | 06/04/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 01050192A | IN | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.