Healthcare Provider Details

I. General information

NPI: 1013844430
Provider Name (Legal Business Name): ASMAH JAMILYAH KARRIEM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 LAURADALE LN APT 3
RICHMOND VA
23234-1352
US

IV. Provider business mailing address

2704 LAURADALE LN APT 3
RICHMOND VA
23234-1352
US

V. Phone/Fax

Practice location:
  • Phone: 804-499-0094
  • Fax:
Mailing address:
  • Phone: 804-499-0094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number0735001214
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: