Healthcare Provider Details

I. General information

NPI: 1164046835
Provider Name (Legal Business Name): KARAN PANDHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 CHESTNUT ST STE 740
PHILADELPHIA PA
19107-4409
US

IV. Provider business mailing address

833 CHESTNUT ST STE 740
PHILADELPHIA PA
19107-4409
US

V. Phone/Fax

Practice location:
  • Phone: 510-676-0250
  • Fax:
Mailing address:
  • Phone: 215-955-6680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD489499
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: