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NPI Code Detail

MEDICARE: IRODA KARSHIEVA

MEDICARE:   IRODA  KARSHIEVA
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
1174400000XSpecialist

General Provider Information

NPI Number : 1255721387
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRODA KARSHIEVA
Provider Business Mailing Address
First Line : 1862 E 14TH ST
Second Line : APT 1 E
City : BROOKLYN
State : NY
Zip : 11229-2852
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1862 E 14TH ST
Second Line : APT 1 E
City : BROOKLYN
State : NY
Zip : 11229-2852
Country : US
Telephone Number : 347-409-6060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2015
Last Update Date : 01/27/2015

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Directions to “ IRODA KARSHIEVA ” Practice Location

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