Kamineni, Sambasiva

Kamineni, Sambasiva is an sole proprietor health care provider with primary practice located at 7901 Broadway , Elmhurst NY 11373-1329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kamineni, Sambasiva can be contacted via phone (718) 334-2473.

Contact Information

Primary practice address
7901 Broadway Elmhurst NY 11373-1329
Phone: (718) 334-2473
Fax: (718) 275-2673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 214050 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 214050 New York

Profile Details

NPI number 1912903006
LBN Legal business name Kamineni, Sambasiva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Jun 15th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912903006 NPPES
New York Other 162454 ELDERPLAN
New York Other 3C3295 ELDERPLAN
New York Other P2214925 ELDERPLAN
New York Other 214050-A53 ELDERPLAN
New York Other 2323323003 ELDERPLAN
New York MEDICAID 02081872 ELDERPLAN
New York Other 0199264 ELDERPLAN
New York Other 0007447135 ELDERPLAN
New York Other 34141P ELDERPLAN

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