| Basim Z. Abdelkarim, M.d., Inc. | |
|
1310 San Bernardino Rd Ste 103 Upland CA 91786-4985 | |
| (909) 920-0444 | |
| (909) 920-5044 |
| Full Name | Basim Z. Abdelkarim, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1310 San Bernardino Rd Ste 103, Upland, California |
| Authorized Official Name and Position | Basim Z Abdelkarim (PRESIDENT) |
| Authorized Official Contact | 9099200444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Basim Z. Abdelkarim, M.d., Inc. 1310 San Bernardino Rd Ste 103 Upland CA 91786-4985 Ph: (909) 920-0444 | Basim Z. Abdelkarim, M.d., Inc. 1310 San Bernardino Rd Ste 103 Upland CA 91786-4985 Ph: (909) 920-0444 |
| NPI Number | 1063593739 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 04/21/2016 |
| Medicare PECOS PAC ID | 5890796445 |
|---|---|
| Medicare Enrollment ID | O20070124000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063593739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A74259 (California) | Primary |
| Provider Name | Basim Abdelkarim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932217544 PECOS PAC ID: 2163452301 Enrollment ID: I20050817000176 |
| Provider Name | Camron Kiafar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831299254 PECOS PAC ID: 2466482625 Enrollment ID: I20050817000327 |
| Provider Name | Khodadad Mehraein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316147374 PECOS PAC ID: 6002902236 Enrollment ID: I20071018000460 |
| Provider Name | Deborah Anghesom-negusse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780862169 PECOS PAC ID: 8022293091 Enrollment ID: I20110506000572 |
| Provider Name | Dalia Ibrahim-abdelaziz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356502116 PECOS PAC ID: 2961709092 Enrollment ID: I20160404002332 |
| Provider Name | Priyanka Yaramada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588008189 PECOS PAC ID: 0244519320 Enrollment ID: I20161111001951 |
| Provider Name | Brianne N Bridgeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104070598 PECOS PAC ID: 8224194063 Enrollment ID: I20230630002910 |
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