Provider Demographics
NPI:1033133210
Name:BROWN, KAREN SHIELDS (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SHIELDS
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 CAMINO DEL RIO N.
Mailing Address - Street 2:STE. 102
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108
Mailing Address - Country:US
Mailing Address - Phone:858-999-7482
Mailing Address - Fax:619-584-5644
Practice Address - Street 1:3570 CAMINO DEL RIO N.
Practice Address - Street 2:STE. 102
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108
Practice Address - Country:US
Practice Address - Phone:858-999-7482
Practice Address - Fax:619-584-5644
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM03622084P0800X
CAC550452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry