Healthcare Provider Details

I. General information

NPI: 1972820322
Provider Name (Legal Business Name): NATALIE E KARP MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 12/11/2020
Certification Date: 12/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ELM AVE SE
ROANOKE VA
24013-2222
US

IV. Provider business mailing address

101 ELM AVE SE
ROANOKE VA
24013-2222
US

V. Phone/Fax

Practice location:
  • Phone: 540-985-4099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number0101262370
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: