MEDICARE: EMELY KARANDY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	OS004968L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578507232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMELY KARANDY D.O.

Provider Business Mailing Address
First Line	:	PO BOX 434
Second Line	:
City	:	VALLEY FORGE
State	:	PA
Zip	:	19481-0434
Country	:	US
Telephone Number	:	610-935-5600
Fax Number	:	610-935-0830

Provider Business Practice Location Address
First Line	:	1288 VALLEY FORGE RD
Second Line	:	SUITE 65
City	:	PHOENIXVILLE
State	:	PA
Zip	:	19460-2687
Country	:	US
Telephone Number	:	610-935-5600
Fax Number	:	610-935-0830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	12/16/2015

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