Kavitha Kumbum Physician, P.c. | |
1650 Grand Concourse Bronx NY 10457 | |
(201) 686-0155 | |
Not Available |
Full Name | Kavitha Kumbum Physician, P.c. |
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Speciality | Internal Medicine - Gastroenterology |
Location | 1650 Grand Concourse, Bronx, New York |
Authorized Official Name and Position | Kavitha Kumbum (PRESIDENT) |
Authorized Official Contact | 2016860155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kavitha Kumbum Physician, P.c. 17-34 Hunter Place Fair Lawn NJ 07410 Ph: (201) 686-0155 | Kavitha Kumbum Physician, P.c. 1650 Grand Concourse Bronx NY 10457 Ph: (201) 686-0155 |
NPI Number | 1144458654 |
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Provider Enumeration Date | 06/24/2009 |
Last Update Date | 06/24/2009 |
Identifier | Type | State | Issuer |
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1144458654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | 227392 (New York) | Primary |
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