Kankanala, Sambaiah

Kankanala, Sambaiah is an individual health care provider with primary practice located at 5320 N Lovington Hwy , Hobbs NM 88240-9139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kankanala, Sambaiah can be contacted via phone (575) 392-1973.

Contact Information

Primary practice address
5320 N Lovington Hwy Hobbs NM 88240-9139
Fax: (575) 392-2030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 81240 New Mexico

Profile Details

NPI number 1417020363
LBN Legal business name Kankanala, Sambaiah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated May 11th, 2010 - about 14 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 1417020363 NPPES
New Mexico MEDICAID 12021
New Mexico Other NM001X04

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