Provider Demographics
NPI:1235785379
Name:VASHI, AYESHA MUKESH (DMD)
Entity Type:Individual
Prefix:DR
First Name:AYESHA
Middle Name:MUKESH
Last Name:VASHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LIBERTY ST APT 32E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-1552
Mailing Address - Country:US
Mailing Address - Phone:212-203-9666
Mailing Address - Fax:
Practice Address - Street 1:9 ALLING ST # 25
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-5376
Practice Address - Country:US
Practice Address - Phone:973-297-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027719001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice