Healthcare Provider Details

I. General information

NPI: 1750359352
Provider Name (Legal Business Name): KARLA DOROTHY GAYER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 11/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 FOREST AVE STE 400
RICHMOND VA
23230-1726
US

IV. Provider business mailing address

7001 FOREST AVE STE 400
RICHMOND VA
23230-1726
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-0831
  • Fax: 804-288-7135
Mailing address:
  • Phone: 804-282-0831
  • Fax: 804-288-7135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD17895
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: