MEDICARE: MS. KAREN LEE KASHKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	G34873	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548225105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN LEE KASHKIN MD

Provider Business Mailing Address
First Line	:	365 HAWTHORNE AVE
Second Line	:	STE 301
City	:	OAKLAND
State	:	CA
Zip	:	94609-3113
Country	:	US
Telephone Number	:	510-893-1700
Fax Number	:	510-893-0110

Provider Business Practice Location Address
First Line	:	911 MORAGA RD
Second Line	:	STE 201
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-4500
Country	:	US
Telephone Number	:	925-284-3040
Fax Number	:	925-283-6087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/08/2007

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