Provider Demographics
NPI:1336029131
Name:SANATIVE HEALTHCARE PLLC
Entity type:Organization
Organization Name:SANATIVE HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SASIKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KATAMREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-414-2575
Mailing Address - Street 1:801 SPRINGDALE DR STE 100M
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2866
Mailing Address - Country:US
Mailing Address - Phone:802-735-0001
Mailing Address - Fax:903-342-8251
Practice Address - Street 1:1623 MORGANTOWN RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-9455
Practice Address - Country:US
Practice Address - Phone:802-735-0001
Practice Address - Fax:903-342-8251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty