Healthcare Provider Details

I. General information

NPI: 1235397399
Provider Name (Legal Business Name): KARAM ASHOO D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 FOREST AVE
PARAMUS NJ
07652-4737
US

IV. Provider business mailing address

426 W 46TH ST APT 3C
NEW YORK NY
10036-3583
US

V. Phone/Fax

Practice location:
  • Phone: 201-265-3334
  • Fax:
Mailing address:
  • Phone: 646-522-0178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number22DI02354200
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: