Doctor Name: | DR. KARIMAH Z SHABAZZ |
NPI Number: | 1134412802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 36-003724 |
Business Practice Address: | 2950 W Market St Suites H And I Fairlawn, OH - 443333614 |
Business Phone Number: | 3308648501 |
Business Fax Number: | |
Mailing Address: | 1012 Water St, MEADVILLE |
State: | PA |
Postal Code: | 163353468 |
Phone Number: | 8143332001 |
Fax Number: | 8143331025 |
NPI Enumeration Date: | 05/27/2011 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 36-003724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |