| Natalie Karishev Md Professional | |
|
3021 Dana St Berkeley CA 94705-2073 | |
| (510) 845-2422 | |
| (510) 845-7802 |
| Full Name | Natalie Karishev Md Professional |
|---|---|
| Speciality | Clinic/Center |
| Location | 3021 Dana St, Berkeley, California |
| Authorized Official Name and Position | Natalie Karishev (PRESIDENT) |
| Authorized Official Contact | 5108452422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Karishev Md Professional 3021 Dana St Berkeley CA 94705-2073 Ph: (510) 845-2422 | Natalie Karishev Md Professional 3021 Dana St Berkeley CA 94705-2073 Ph: (510) 845-2422 |
| NPI Number | 1871806711 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 7012103575 |
|---|---|
| Medicare Enrollment ID | O20101124000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871806711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A 105280 (California) | Primary |
| Provider Name | Natalie Karishev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891800124 PECOS PAC ID: 0345388724 Enrollment ID: I20091104000378 |
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