Healthcare Provider Details

I. General information

NPI: 1750391629
Provider Name (Legal Business Name): KAREN ANN ISAACS-CHARLES D.O.,MBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 STONY POINT PKWY
RICHMOND VA
23235-1900
US

IV. Provider business mailing address

PO BOX 780125
PHILADELPHIA PA
19178-0125
US

V. Phone/Fax

Practice location:
  • Phone: 804-560-8950
  • Fax: 804-560-7334
Mailing address:
  • Phone: 804-922-4844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number237786
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102208140
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: