Doctor Name: | ABDULKAREEM I KRAIDY |
NPI Number: | 1326116229 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D0062159 |
Business Practice Address: | 6801 Backlick Rd Springfield, VA - 221503071 |
Business Phone Number: | 2404176424 |
Business Fax Number: | |
Mailing Address: | 5140 Port Tobacco Rd, NANJEMOY |
State: | MD |
Postal Code: | 206623317 |
Phone Number: | 2404176424 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0062159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |