Basic Information
Provider Information
NPI: 1285251538
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAYOUMY
FirstName: KARIM
MiddleName: MAGDY ABDELMONEIM
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 506 6TH STREET
Address2: NEW YORK PRESBYTERIAN BROOKLYN METHODIST HOSPITAL
City: NEW YORK/BROOKLYN
State: NY
PostalCode: 112159008
CountryCode: US
TelephoneNumber: 7187803000
FaxNumber:  
Practice Location
Address1: 506 6TH STREET
Address2: NEW YORK PRESBYTERIAN BROOKLYN METHODIST HOSPITAL
City: NEW YORK/BROOKLYN
State: NY
PostalCode: 112159008
CountryCode: US
TelephoneNumber: 7187803000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/02/2020
LastUpdateDate: 07/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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