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
Phone: (718) 240-5045
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568541209 | NPPES |
New York | MEDICAID | 026241336 |
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