Provider Demographics
NPI:1164497277
Name:KARASHIN, ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:KARASHIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 HICKORY FLAT RD
Mailing Address - Street 2:
Mailing Address - City:BUCKHANNON
Mailing Address - State:WV
Mailing Address - Zip Code:26201-3571
Mailing Address - Country:US
Mailing Address - Phone:304-613-8644
Mailing Address - Fax:
Practice Address - Street 1:3400 HICKORY FLAT RD
Practice Address - Street 2:
Practice Address - City:BUCKHANNON
Practice Address - State:WV
Practice Address - Zip Code:26201-3571
Practice Address - Country:US
Practice Address - Phone:304-613-8644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV25362085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101330095 0002Medicaid
KY7100073910Medicaid
LA1477583Medicaid
ID808326200Medicaid
OH2728678Medicaid
KY7100073910Medicaid
PA093370FHYMedicare PIN
ID808326200Medicaid
PA133290V8WMedicare PIN
PA093370XREMedicare PIN