Healthcare Provider Details

I. General information

NPI: 1336451038
Provider Name (Legal Business Name): KARIM RICHARD MASRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9602 PATTERSON AVE
RICHMOND VA
23229-6015
US

IV. Provider business mailing address

9602 PATTERSON AVE
RICHMOND VA
23229-6015
US

V. Phone/Fax

Practice location:
  • Phone: 804-217-9601
  • Fax: 804-217-9602
Mailing address:
  • Phone: 804-217-9601
  • Fax: 804-217-9602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number0101257539
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: