Provider Demographics
NPI:1558823740
Name:KARASEK, ROBIN (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:KARASEK
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 1:850 ENTERPRISE PARKWAY
Mailing Address - Street 2:INTERNAL MEDICINE DEPARTMENT
Mailing Address - City:HAMPTOM
Mailing Address - State:VA
Mailing Address - Zip Code:23666
Mailing Address - Country:US
Mailing Address - Phone:757-251-2170
Mailing Address - Fax:757-251-2185
Practice Address - Street 1:850 ENTERPRISE PARKWAY
Practice Address - Street 2:INTERNAL MEDICINE DEPARTMENT
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666
Practice Address - Country:US
Practice Address - Phone:757-251-2170
Practice Address - Fax:757-251-2185
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125074179390200000X
VA0101274968207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program