Provider Demographics
NPI:1265623912
Name:KAMBI, SUMITHRA NANJAPPA (MD)
Entity type:Individual
Prefix:DR
First Name:SUMITHRA
Middle Name:NANJAPPA
Last Name:KAMBI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUMITHRA
Other - Middle Name:NANJAPPA
Other - Last Name:KAMBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11311 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2476
Mailing Address - Country:US
Mailing Address - Phone:718-850-0009
Mailing Address - Fax:718-657-0512
Practice Address - Street 1:11311 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2476
Practice Address - Country:US
Practice Address - Phone:718-850-0009
Practice Address - Fax:718-657-0512
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2015-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245468207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology