Provider Demographics
NPI:1053321364
Name:SANDVED, KARIN MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:MARIA
Last Name:SANDVED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7068
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-0068
Mailing Address - Country:US
Mailing Address - Phone:757-686-3516
Mailing Address - Fax:757-686-0541
Practice Address - Street 1:400 W BRAMBLETON AVE
Practice Address - Street 2:STE 100
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1115
Practice Address - Country:US
Practice Address - Phone:757-627-6220
Practice Address - Fax:757-627-0200
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2010-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101054901207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF96905Medicare UPIN