Dr. Sumana Kondle, MD, MSPH
Student in an Organized Health Care Education/Training Program in Hemet, CA. Individual provider (NPI-1).
NPI number1053009142
StatusActive
Last updated in NPPESApr 26, 2023
Details
- NPI
- 1053009142
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sumana Kondle
- Credential
- MD, MSPH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2023
- Certification date
- Apr 26, 2023
- Last updated
- Apr 26, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1117 E Devonshire AveHemet, CA 92543-3083
Phone 951-652-2811
Mailing address
3485 Lewiston RdWest Sacramento, CA 95691-5459
Phone 530-301-8464
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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