Healthcare Provider Details

I. General information

NPI: 1538142625
Provider Name (Legal Business Name): KAREN E WARSCHAW M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 01/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9060 E VIA LINDA SUITE 150
SCOTTSDALE AZ
85258-5417
US

IV. Provider business mailing address

9060 E VIA LINDA SUITE 150
SCOTTSDALE AZ
85258-5417
US

V. Phone/Fax

Practice location:
  • Phone: 480-275-2494
  • Fax: 480-772-4296
Mailing address:
  • Phone: 480-275-2494
  • Fax: 480-772-4296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number28895
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: