Provider Demographics
NPI:1326158494
Name:KASHEFSKY, HOWARD EVAN (DPM)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:EVAN
Last Name:KASHEFSKY
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:4416 SUN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707
Mailing Address - Country:US
Mailing Address - Phone:919-489-7437
Mailing Address - Fax:919-693-9255
Practice Address - Street 1:5316 HIGHGATE DR
Practice Address - Street 2:STE 125
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6627
Practice Address - Country:US
Practice Address - Phone:919-484-1437
Practice Address - Fax:919-806-2181
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC402213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1139NOtherBLUES CROSS BLUE SHIELD
NC33714OtherPARTNERS
NC480027068OtherPALMETTO GBA
NC562110317OtherUNITED HEALTHCARE
NC92377OtherMEDCOST
NC790211PMedicaid
NC6908002Medicaid
NC264040OtherMAMSI
NC2433237CMedicare PIN
NC790211PMedicaid