Provider Demographics
NPI:1609940485
Name:KARRASCH, CHARLES CRAIG (DPM)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:CRAIG
Last Name:KARRASCH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 W PLUMB LANE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-3766
Mailing Address - Country:US
Mailing Address - Phone:775-786-5561
Mailing Address - Fax:775-786-5646
Practice Address - Street 1:435 W PLUMB LANE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3766
Practice Address - Country:US
Practice Address - Phone:775-786-5561
Practice Address - Fax:775-786-5646
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV34213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVT67255Medicare UPIN
NV0351560001Medicare NSC
NV33840Medicare PIN