Healthcare Provider Details

I. General information

NPI: 1821027822
Provider Name (Legal Business Name): KAREN MERRITT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2421 CHAMBERLAYNE AVE
RICHMOND VA
23222-4205
US

IV. Provider business mailing address

PO BOX 639970
CINCINNATI OH
45263-9970
US

V. Phone/Fax

Practice location:
  • Phone: 804-329-8510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD43375
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101281453
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: