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Individual

DR. KAREN A. FAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-3540
(202) 741-2238
Mailing address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
28767
AL
207RP1001X
Pulmonary Disease Physician
33695
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01336957
CO
05
06135261
MS
01
51547630
BCBS - 575 STANTON RD
AL
01
51547639
BCBS-2451 FILLINGIM ST
AL
01
51547640
BCBS-3301 KNOLLWOOD DR
AL
Enumeration date
10/13/2006
Last updated
08/06/2024
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