Provider Demographics
NPI:1073793584
Name:ANTEVIL, KARIN M (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:M
Last Name:ANTEVIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KARIN
Other - Middle Name:M
Other - Last Name:MAURER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7799 LEESBURG PIKE
Mailing Address - Street 2:SUITE 1000N
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2408
Mailing Address - Country:US
Mailing Address - Phone:757-752-0523
Mailing Address - Fax:703-667-8601
Practice Address - Street 1:7799 LEESBURG PIKE
Practice Address - Street 2:SUITE 1000N
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2408
Practice Address - Country:US
Practice Address - Phone:757-752-0523
Practice Address - Fax:703-667-8601
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012449242085R0202X
MDD00806992085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology