Provider Demographics
NPI:1982472825
Name:GHARIB, ASHA
Entity type:Individual
Prefix:
First Name:ASHA
Middle Name:
Last Name:GHARIB
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 1:16200 NE 14TH CT APT L106
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-2857
Mailing Address - Country:US
Mailing Address - Phone:425-445-4394
Mailing Address - Fax:
Practice Address - Street 1:16200 NE 14TH CT APT L106
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-2857
Practice Address - Country:US
Practice Address - Phone:425-445-4394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IHS.FS.61505828376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker