Provider Demographics
NPI:1588641724
Name:SKARDA, KAREN RUTH (MD)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:RUTH
Last Name:SKARDA
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 1:3608 MEDICAL PARK CT
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-4347
Mailing Address - Country:US
Mailing Address - Phone:252-354-1970
Mailing Address - Fax:252-354-1968
Practice Address - Street 1:300 TAYLOR NOTION RD
Practice Address - Street 2:SUITE E
Practice Address - City:CAPE CARTERET
Practice Address - State:NC
Practice Address - Zip Code:28584-8944
Practice Address - Country:US
Practice Address - Phone:252-354-1970
Practice Address - Fax:252-354-1968
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36431207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8976712Medicaid
C45621Medicare UPIN
2183749DMedicare ID - Type Unspecified