Active NPI
Karim Osama Ibrahim Mohamed
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- Richmond, VA
National Provider Identifier
1053019828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- License
- 0116036561
- Practice address
- 11958 W Broad St
Richmond, VA 23233-1007 - Phone
- (804) 360-4669
- NPI assigned
- Feb 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | 0116036561 | VA | Primary |
Addresses
Primary practice location
11958 W Broad St
Richmond, VA 23233-1007
Mailing address
1200 E Broad St FL 6
Richmond, VA 23298-5025
Phone (804) 828-5093
Other practice location 1
1200 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-5093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116036561 | VA | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1053019828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E BROAD ST FL 6",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985025",
"telephone_number": "804-828-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11958 W BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232331007",
"telephone_number": "804-360-4669"
}
],
"practiceLocations": [
{
"address_1": "1200 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-5093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMED",
"first_name": "KARIM",
"middle_name": "OSAMA IBRAHIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-21",
"last_updated": "2023-02-21",
"certification_date": "2023-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "VA",
"license": "0116036561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.