MEDICARE: EVELYN M KARSON PHDMD CHARTERED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207SG0201X	Clinical Genetics (M.D.) Physician	MD13800	DC
2	207V00000X	Obstetrics & Gynecology Physician	MD13800	DC
3	207V00000X	Obstetrics & Gynecology Physician	D0035033	MD
4	207SG0201X	Clinical Genetics (M.D.) Physician	D0035033	MD

General Provider Information

NPI Number	:	1649416421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVELYN M KARSON PHDMD CHARTERED

Provider Business Mailing Address
First Line	:	5824 CONWAY RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-3400
Country	:	US
Telephone Number	:	301-897-8175
Fax Number	:	301-493-6107

Provider Business Practice Location Address
First Line	:	10401 OLD GEORGETOWN RD
Second Line	:	SUITE 307
City	:	BETHESDA
State	:	MD
Zip	:	20814-1911
Country	:	US
Telephone Number	:	301-571-5190
Fax Number	:	301-571-5195

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EVELYN M KARSON
Credential	:	MD
Telephone Number	:	301-897-8175

Provider Enumeration Date	:	12/27/2008
Last Update Date	:	12/27/2008

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