Provider Demographics
NPI:1598777146
Name:HART, KAREN E (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:HART
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5340 ELVAS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-2345
Mailing Address - Country:US
Mailing Address - Phone:916-736-2225
Mailing Address - Fax:916-455-7091
Practice Address - Street 1:5340 ELVAS AVE
Practice Address - Street 2:STE 100
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-2345
Practice Address - Country:US
Practice Address - Phone:916-736-2225
Practice Address - Fax:916-455-7091
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2011-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA79820207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine