Provider Demographics
NPI:1891374104
Name:MARASHI, KAREEN KHAMO (PAC)
Entity Type:Individual
Prefix:
First Name:KAREEN
Middle Name:KHAMO
Last Name:MARASHI
Suffix:
Gender:F
Credentials:PAC
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Other - Credentials:
Mailing Address - Street 1:ST ROSE PEDIATRICS
Mailing Address - Street 2:2350 WEST HORIZON RIDGE PARKWAY
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052
Mailing Address - Country:US
Mailing Address - Phone:702-564-8556
Mailing Address - Fax:702-564-4485
Practice Address - Street 1:ST ROSE PEDIATRICS
Practice Address - Street 2:2350 WEST HORIZON RIDGE PARKWAY
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-564-8556
Practice Address - Fax:702-564-4485
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2022-12-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVPA2712363A00000X
TXPA14791363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant