Thambireddy, Damodar

Thambireddy, Damodar is an individual health care provider with primary practice located at 1 Brookdale Plz Acc 2Chc, Brooklyn NY 11212-3139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Thambireddy, Damodar can be contacted via phone (718) 240-5045.

Contact Information

Primary practice address
1 Brookdale Plz Acc 2Chc Brooklyn NY 11212-3139
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 234477 New York

Profile Details

NPI number 1568541209
LBN Legal business name Thambireddy, Damodar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Sep 8th, 2008 - about 16 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 1568541209 NPPES
New York MEDICAID 026241336

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