Tp Indira Md Pa | |
874 Walker Rd Ste B Dover DE 19904-2778 | |
(302) 734-5438 | |
Not Available |
Full Name | Tp Indira Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 874 Walker Rd Ste B, Dover, Delaware |
Authorized Official Name and Position | Sambhab Kumar (PHYSICIAN) |
Authorized Official Contact | 3027345438 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tp Indira Md Pa 874 Walker Rd Ste B Dover DE 19904-2778 Ph: (302) 734-5438 | Tp Indira Md Pa 874 Walker Rd Ste B Dover DE 19904-2778 Ph: (302) 734-5438 |
NPI Number | 1225061278 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 09/14/2016 |
Medicare PECOS PAC ID | 7517855117 |
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Medicare Enrollment ID | O20040305000821 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225061278 | NPI | - | NPPES |
0000712302 | Medicaid | DE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C1-0004842 (Delaware) | Primary |
Provider Name | Sambhab Kumar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750359840 PECOS PAC ID: 8022906627 Enrollment ID: I20110714000086 |
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