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1821027822

NPI Code Detail

MEDICARE: KAREN MERRITT M.D.

MEDICARE: KAREN MERRITT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D43375	MD
2	207R00000X	Internal Medicine Physician	0101281453	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00756085	OTHER	GA	RAILROAD MEDICARE
6	159359ZDVX	OTHER	MD	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	52843505	OTHER	MD	CAREFIRST
2	193371000	OTHER	MD	MEDICAL ASSISTANCE
4	255824	OTHER		KAISER PERMANENTE
5	E402-0023	OTHER	DC	CAREFIRST
7	226802	OTHER		JHH

General Provider Information

NPI Number	:	1821027822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN MERRITT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 639970
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-9970
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2421 CHAMBERLAYNE AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23222-4205
Country	:	US
Telephone Number	:	804-329-8510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	12/11/2024

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Directions to “ KAREN MERRITT M.D.” Practice Location

Language	Start Address	Practice Location

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