Individual
KARANVEER JOHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4170 CITY AVE, PHILADELPHIA, PA 19131-1694
(215) 871-6100
Mailing address
5450 WISSAHICKON AVE APT A1105, PHILADELPHIA, PA 19144-5262
(732) 710-1307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS025890
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2024
Last updated
04/08/2026
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