Thampi, Samuel

Thampi, Samuel is an sole proprietor health care provider with primary practice located at 33 Walt Whitman Rd Ste-100, Huntington Station NY 11746-3640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Thampi, Samuel can be contacted via phone (631) 470-2021.

Contact Information

Primary practice address
33 Walt Whitman Rd Ste-100 Huntington Station NY 11746-3640
Phone: (631) 470-2021
Fax: (631) 207-8567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 220673 New York
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 220673 New York

Profile Details

NPI number 1215932447
LBN Legal business name Thampi, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Dec 12th, 2012 - about 12 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 1215932447 NPPES
New York MEDICAID 02316865

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