Provider Demographics
NPI:1548655830
Name:ABOU-KARAM, NADA
Entity type:Individual
Prefix:DR
First Name:NADA
Middle Name:
Last Name:ABOU-KARAM
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 1:8889 CAMINITO PLAZA CENTRO
Mailing Address - Street 2:UNIT 7334
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-1091
Mailing Address - Country:US
Mailing Address - Phone:651-324-8504
Mailing Address - Fax:
Practice Address - Street 1:8889 CAMINITO PLAZA CENTRO
Practice Address - Street 2:UNIT 7334
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1091
Practice Address - Country:US
Practice Address - Phone:651-324-8504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist