Provider Demographics
NPI:1558006890
Name:MORALES, OLGA KARINA (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:KARINA
Last Name:MORALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OLGA
Other - Middle Name:KARINA
Other - Last Name:NUNEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2511 AVEMORE POND RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-7235
Mailing Address - Country:US
Mailing Address - Phone:910-302-2406
Mailing Address - Fax:
Practice Address - Street 1:2511 AVEMORE POND RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-7235
Practice Address - Country:US
Practice Address - Phone:910-302-2406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program