Provider Demographics
NPI:1578507232
Name:KARANDY, EMELY (DO)
Entity Type:Individual
Prefix:
First Name:EMELY
Middle Name:
Last Name:KARANDY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 434
Mailing Address - Street 2:
Mailing Address - City:VALLEY FORGE
Mailing Address - State:PA
Mailing Address - Zip Code:19481-0434
Mailing Address - Country:US
Mailing Address - Phone:610-935-5600
Mailing Address - Fax:610-935-0830
Practice Address - Street 1:1288 VALLEY FORGE RD
Practice Address - Street 2:SUITE 65
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-2687
Practice Address - Country:US
Practice Address - Phone:610-935-5600
Practice Address - Fax:610-935-0830
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004968L2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001032573Medicaid
PA001032573Medicaid
B42106Medicare UPIN