Provider Demographics
NPI:1427244862
Name:URASH, JOSEPH JOHN (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:URASH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 WYKE RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3552
Mailing Address - Country:US
Mailing Address - Phone:704-481-1142
Mailing Address - Fax:704-481-8305
Practice Address - Street 1:935 WYKE RD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3552
Practice Address - Country:US
Practice Address - Phone:704-481-1142
Practice Address - Fax:704-481-8305
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0099-01064207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1710940887OtherDERMATOLOGY CENTER OF SHELBY NPI
2333999OtherMEDICARE GROUP #
NC8912283Medicaid
F47298Medicare UPIN