MEDICARE: MR. CHARLES CRAIG KARRASCH DPM

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	213E00000X	Podiatrist	34	NV

General Provider Information

NPI Number	:	1609940485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHARLES CRAIG KARRASCH DPM

Provider Business Mailing Address
First Line	:	435 W PLUMB LANE
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506-3766
Country	:	US
Telephone Number	:	775-786-5561
Fax Number	:	775-786-5646

Provider Business Practice Location Address
First Line	:	435 W PLUMB LANE
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3766
Country	:	US
Telephone Number	:	775-786-5561
Fax Number	:	775-786-5646

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	03/28/2008

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