Provider Demographics
NPI:1790771582
Name:QUASHIE, DAWN V (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:V
Last Name:QUASHIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5072 ISABELLA CANNON DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4804
Mailing Address - Country:US
Mailing Address - Phone:919-917-8929
Mailing Address - Fax:910-891-1112
Practice Address - Street 1:117 E KINGS HWY
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5201
Practice Address - Country:US
Practice Address - Phone:336-623-9711
Practice Address - Fax:336-623-4268
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101244832207Q00000X, 208M00000X
NC9801028207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1161WOtherBCBS NC
NC891161WMedicaid
NC080193982OtherRAILROAD MEDICARE
NCG86712Medicare UPIN
VAMC12716Medicare PIN
NC2258960BMedicare PIN