Provider Demographics
NPI:1609313576
Name:KARRISHMA B JUMANI INC
Entity Type:Organization
Organization Name:KARRISHMA B JUMANI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KARISHMA
Authorized Official - Middle Name:B
Authorized Official - Last Name:JUMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-754-0502
Mailing Address - Street 1:1062 EL CAPITAN TER
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-3934
Mailing Address - Country:US
Mailing Address - Phone:347-754-0502
Mailing Address - Fax:
Practice Address - Street 1:1062 EL CAPITAN TERRACE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3934
Practice Address - Country:US
Practice Address - Phone:650-382-2785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS587031223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty