| Doctor Name: | DR. SAMBASIVARAO VENKATA KARANAM |
| NPI Number: | 1487673679 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD00021462 |
| Business Practice Address: | 827 E. Water St., # B South Bend, WA - 985861166 |
| Business Phone Number: | 4257661614 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1166, 827 E. Water Street # B SOUTH BEND |
| State: | WA |
| Postal Code: | 985861166 |
| Phone Number: | 4257661614 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 03/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00021462 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |