Provider Demographics
NPI:1063836211
Name:KARAN JOHAR, MD, PLLC
Entity Type:Organization
Organization Name:KARAN JOHAR, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-371-8460
Mailing Address - Street 1:993 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0921
Mailing Address - Country:US
Mailing Address - Phone:212-371-8460
Mailing Address - Fax:212-537-7303
Practice Address - Street 1:993 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0921
Practice Address - Country:US
Practice Address - Phone:212-371-8460
Practice Address - Fax:212-537-7303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-08
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260632208100000X, 2081P2900X, 261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPainGroup - Multi-Specialty