MEDICARE: HAVISHA BINDU KARNAM

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	MD493276	PA

General Provider Information

NPI Number	:	1821736836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAVISHA BINDU KARNAM

Provider Business Mailing Address
First Line	:	223 SHOEMAKER RD STE 105
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-6446
Country	:	US
Telephone Number	:	484-945-0770
Fax Number	:	484-945-0648

Provider Business Practice Location Address
First Line	:	223 SHOEMAKER RD STE 105
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19464-6446
Country	:	US
Telephone Number	:	484-945-0770
Fax Number	:	484-945-0648

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

Provider Enumeration Date	:	05/20/2022
Last Update Date	:	04/01/2026

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Directions to “ HAVISHA BINDU KARNAM ” Practice Location

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