Provider Demographics
NPI:1336451038
Name:MASRI, KARIM RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIM
Middle Name:RICHARD
Last Name:MASRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9602 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6015
Mailing Address - Country:US
Mailing Address - Phone:804-217-9601
Mailing Address - Fax:804-217-9602
Practice Address - Street 1:9602 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6015
Practice Address - Country:US
Practice Address - Phone:804-217-9601
Practice Address - Fax:804-217-9602
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101257539207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778OtherMEDICARE PTAN