Basic Information
Provider Information
NPI: 1356754907
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAR
FirstName: SUNNY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2100 MACK BLVD
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181035622
CountryCode: US
TelephoneNumber: 4848840617
FaxNumber: 4848840628
Practice Location
Address1: 1240 S CEDAR CREST BLVD STE 308
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181036370
CountryCode: US
TelephoneNumber: 4848840617
FaxNumber: 4848840628
Other Information
ProviderEnumerationDate: 06/10/2014
LastUpdateDate: 08/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0102XOS020730PAY Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care

No ID Information.


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