Provider Demographics
NPI:1457729758
Name:KARASHI, HUSAIN AYAM (DDS)
Entity Type:Individual
Prefix:
First Name:HUSAIN
Middle Name:AYAM
Last Name:KARASHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 NORTH 12TH STREET - LYONS DENTAL BUILDING
Mailing Address - Street 2:2ND FLOOR, ROOM 224
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298
Mailing Address - Country:US
Mailing Address - Phone:804-833-3202
Mailing Address - Fax:804-827-1373
Practice Address - Street 1:520 NORTH 12TH STREET - LYONS DENTAL BUILDING
Practice Address - Street 2:2ND FLOOR, ROOM 224
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298
Practice Address - Country:US
Practice Address - Phone:804-833-3202
Practice Address - Fax:804-827-1373
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0442000259390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program