Provider Demographics
NPI:1013402841
Name:ASHOORMARAM, NARAMSIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:NARAMSIN
Middle Name:
Last Name:ASHOORMARAM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3885 S ARIZONA AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-0917
Mailing Address - Country:US
Mailing Address - Phone:480-782-1555
Mailing Address - Fax:
Practice Address - Street 1:3885 S ARIZONA AVE STE 3
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-0917
Practice Address - Country:US
Practice Address - Phone:480-782-1555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD011034122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist