Provider Demographics
NPI:1750391629
Name:ISAACS-CHARLES, KAREN ANN (DO,MBS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:ISAACS-CHARLES
Suffix:
Gender:F
Credentials:DO,MBS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 780125
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0125
Mailing Address - Country:US
Mailing Address - Phone:804-922-4844
Mailing Address - Fax:
Practice Address - Street 1:9000 STONY POINT PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1900
Practice Address - Country:US
Practice Address - Phone:804-560-8950
Practice Address - Fax:804-560-7334
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY237786207Q00000X
VA0102208140207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY006954941Medicaid
NY331943Medicare Oscar/Certification
NY006954941Medicaid