Provider Demographics
NPI:1114587805
Name:KARAMBELKAR, PRANAV VIBHAKAR (MBBS)
Entity Type:Individual
Prefix:DR
First Name:PRANAV
Middle Name:VIBHAKAR
Last Name:KARAMBELKAR
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 SUMMIT POINTE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18508-1045
Mailing Address - Country:US
Mailing Address - Phone:516-603-9320
Mailing Address - Fax:
Practice Address - Street 1:111 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1828
Practice Address - Country:US
Practice Address - Phone:570-591-5153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-16
Last Update Date:2019-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT218024207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine