Individual provider · Type 1 NPI

Shivam Kamboj, MD

Student in an Organized Health Care Education/Training Program · Far Rockaway, NY

NPI number 1487159380 Active · reactivated Apr 17, 2024

Practice location

327 Beach 19th St
Far Rockaway, NY 11691-4423

Call (718) 869-7000 Map

Mailing address

7169 Josslyn Dr
San Jose, CA 95120-3321

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487159380

Shivam Kamboj, MD's National Provider Identifier is 1487159380, issued on Mar 24, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Far Rockaway, NY. The record was last updated on Apr 23, 2024.