Provider Demographics
NPI:1316006240
Name:MYERS, KAREN R (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:MYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1140 19TH ST NW
Mailing Address - Street 2:SUITE # 805
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6601
Mailing Address - Country:US
Mailing Address - Phone:202-728-9630
Mailing Address - Fax:202-296-0528
Practice Address - Street 1:1140 19TH ST NW
Practice Address - Street 2:SUITE # 805
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6601
Practice Address - Country:US
Practice Address - Phone:202-728-9630
Practice Address - Fax:202-296-0528
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC17807207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC422402Medicare ID - Type Unspecified
DC422402Medicare PIN
DCE23068Medicare UPIN