Healthcare Provider Details
I. General information
NPI: 1609854207
Provider Name (Legal Business Name): SHARON S KARR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/04/2006
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX VA
22031-4513
US
IV. Provider business mailing address
PO BOX 37174
BALTIMORE MD
21297-3174
US
V. Phone/Fax
- Phone: 703-573-0504
- Fax: 703-573-4856
- Phone: 571-423-5699
- Fax: 571-423-5698
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| License Number | 0101048593 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: