Sambasiva Kamineni, M.D.
in Elmhurst, NY. Individual provider (NPI-1).
NPI number1912903006
StatusActive
Last updated in NPPESJun 15, 2019
Details
- NPI
- 1912903006
- Entity type
- Individual (NPI-1)
- Name
- Sambasiva Kamineni
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2005
- Last updated
- Jun 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 214050 | NY | Yes | |
| 208600000X | Surgery | 214050 | NY |
Practice location
7901 BroadwayElmhurst, NY 11373-1329
Phone 718-334-2473 · Fax 718-275-2673
Mailing address
26 Club DrRoslyn Heights, NY 11577-2602
Phone 516-484-2326
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