Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keerthi Channarasappa, DO

Individual provider Pediatrics Physician · NPI 1336645365

Keerthi Channarasappa, DO is a Pediatrics Physician in Philadelphia, Pennsylvania. Licensed in Ohio and Pennsylvania. Registered with an NPI since 2018.

Licensed in
OH, PA
In the registry since
2018
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone: (215) 590-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS0121587 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence 58.030436 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence OS021587 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336645365
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021

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