Provider Demographics
NPI:1689721201
Name:ALLEYNE, KAREN CLARKE (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:CLARKE
Last Name:ALLEYNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8555 16TH ST
Mailing Address - Street 2:403
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2816
Mailing Address - Country:US
Mailing Address - Phone:301-585-2200
Mailing Address - Fax:888-651-9198
Practice Address - Street 1:8555 16TH ST
Practice Address - Street 2:403
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-2816
Practice Address - Country:US
Practice Address - Phone:301-585-2200
Practice Address - Fax:888-651-9198
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0036036207R00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD347511500Medicaid
C67371Medicare UPIN