Individual provider · Type 1 NPI
Sambasiva Kamineni, MD
Vascular Surgery Physician · Elmhurst, NY
NPI number
1912903006
Active · reactivated Mar 23, 2006
Practice location
7901 Broadway
Elmhurst, NY 11373-1329
Fax (718) 275-2673
Mailing address
26 Club Dr
Roslyn Heights, NY 11577-2602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 214050 (NY) |
| Vascular Surgery Physician Primary | 2086S0129X | 214050 (NY) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1912903006
Sambasiva Kamineni, MD's National Provider Identifier is 1912903006, issued on Jun 22, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Elmhurst, NY. The record was last updated on Jun 15, 2019.