Provider Demographics
NPI:1114902384
Name:KARSH, RICHARD BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:BRUCE
Last Name:KARSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 CENTERPOINT BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-1984
Mailing Address - Country:US
Mailing Address - Phone:865-985-7185
Mailing Address - Fax:
Practice Address - Street 1:1460 MESA RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-2870
Practice Address - Country:US
Practice Address - Phone:406-730-2088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-10
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO177372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GASSNOtherCHAMPUS TRICARE
GA366207OtherWELLCARE
52238787002OtherBCBS OF GEORGIA
AL009974695Medicaid
FL278576500Medicaid
AL60034177OtherBCBS OF ALABAMA
KY64339062Medicaid
NC7617064Medicaid
GA000371368FMedicaid
MD220012100Medicaid
ID807973900Medicaid
GAP00184866OtherRR MEDICARE
MD220012100Medicaid
GA000371368FMedicaid
COCOA100599Medicare PIN
COCO301165Medicare PIN
AL009974695Medicaid
GASSNOtherCHAMPUS TRICARE
NC7617064Medicaid