Healthcare Provider Details

I. General information

NPI: 1144933532
Provider Name (Legal Business Name): PENN HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2022
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1623 MORGANTOWN RD
READING PA
19607-9455
US

IV. Provider business mailing address

2422 COPPER CREEK RD
CHESTER SPRINGS PA
19425-3891
US

V. Phone/Fax

Practice location:
  • Phone: 914-414-2575
  • Fax:
Mailing address:
  • Phone: 914-414-2575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. SASIKUMAR R KATAMREDDY
Title or Position: PRESIDENT
Credential: MD
Phone: 914-414-2575