Provider Demographics
NPI:1447458401
Name:KARNAM, SHOWRI MADAN MANOHAR (MBBS)
Entity type:Individual
Prefix:DR
First Name:SHOWRI
Middle Name:MADAN MANOHAR
Last Name:KARNAM
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 1:600 18TH ST STE 512
Mailing Address - Street 2:APT #1706
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3236
Mailing Address - Country:US
Mailing Address - Phone:304-424-4574
Mailing Address - Fax:
Practice Address - Street 1:600 18TH ST STE 512
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3236
Practice Address - Country:US
Practice Address - Phone:304-424-4574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV26467207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology