Provider Demographics
NPI:1780664755
Name:KARASICK, SHELDON ROY (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:ROY
Last Name:KARASICK
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 782743
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-2743
Mailing Address - Country:US
Mailing Address - Phone:602-910-6887
Mailing Address - Fax:215-612-5077
Practice Address - Street 1:1648 HUNTINGDON PIKE
Practice Address - Street 2:ATTN: RADIOLOGY
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8001
Practice Address - Country:US
Practice Address - Phone:215-612-2610
Practice Address - Fax:215-612-5077
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2016-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD013584E2085R0202X, 2085B0100X
NJ25MA060010002085R0202X, 2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging