Provider Demographics
NPI:1942201504
Name:KARP, NELSON MARC (MD)
Entity type:Individual
Prefix:DR
First Name:NELSON
Middle Name:MARC
Last Name:KARP
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 1:460 S INDEPENDENCE BLVD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1106
Mailing Address - Country:US
Mailing Address - Phone:757-497-3439
Mailing Address - Fax:757-499-8702
Practice Address - Street 1:460 S INDEPENDENCE BLVD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1106
Practice Address - Country:US
Practice Address - Phone:757-497-3439
Practice Address - Fax:757-499-8702
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034323207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA244803OtherANTHEM BC/BS
955707OtherUNITED HEALTHCARE
212767OtherALLIANCE/MAMSI
VA4509543OtherAETNA
971595OtherFIRST HEALTH
B05881Medicare UPIN