Provider Demographics
NPI:1174613004
Name:NAZER, KARIM (MD)
Entity type:Individual
Prefix:DR
First Name:KARIM
Middle Name:
Last Name:NAZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 603898
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3898
Mailing Address - Country:US
Mailing Address - Phone:843-792-6200
Mailing Address - Fax:
Practice Address - Street 1:805 PAMPLICO HWY
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6047
Practice Address - Country:US
Practice Address - Phone:843-264-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT031258207RI0200X
NC2008-01102207RI0200X
PAMD475124207RI0200X, 207R00000X
VA0101272400207R00000X
SC35383207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1443711OtherPHCS
CT726613OtherCONNECTICARE
CTP432450OtherOXFORD HEALTH PLANS
CT010031358CT01OtherANTHEM BCBS
CT1312587Medicaid
CT1077638OtherUNITED HEALTHCARE
NY1543508OtherNYS MEDICAID
CT0213304OtherCIGNA HEALTHCARE
CT4349238OtherAETNA US HEALTHCARE
CT041766OtherHEALTH NET
CT4349238OtherAETNA US HEALTHCARE
CT1312587Medicaid