Provider Demographics
NPI:1497881619
Name:KARESH, CHARLES W (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:W
Last Name:KARESH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15825 SHADY GROVE RD 140
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4015
Mailing Address - Country:US
Mailing Address - Phone:301-869-9776
Mailing Address - Fax:301-417-4947
Practice Address - Street 1:20410 OBSERVATION DR 210
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-6422
Practice Address - Country:US
Practice Address - Phone:301-869-9776
Practice Address - Fax:301-417-4947
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2015-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0021726207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC118096Medicare PIN
MDC61942Medicare UPIN