Provider Demographics
NPI:1275862930
Name:KARRIEM, BASMAH ISHAN (DOULA)
Entity Type:Individual
Prefix:MRS
First Name:BASMAH
Middle Name:ISHAN
Last Name:KARRIEM
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3918 W CHATHAM DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-1206
Mailing Address - Country:US
Mailing Address - Phone:804-300-6391
Mailing Address - Fax:
Practice Address - Street 1:3918 W CHATHAM DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-1206
Practice Address - Country:US
Practice Address - Phone:804-300-6391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3521374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula