Provider Demographics
NPI:1306525738
Name:BHAIRO, KARISHMA SARAH
Entity type:Individual
Prefix:
First Name:KARISHMA
Middle Name:SARAH
Last Name:BHAIRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7631 GANDER PARK
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-3233
Mailing Address - Country:US
Mailing Address - Phone:210-306-7982
Mailing Address - Fax:
Practice Address - Street 1:7631 GANDER PARK
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-3233
Practice Address - Country:US
Practice Address - Phone:210-306-7982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist