Individual
SHIVKUMAR KAMBHAMPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-2500
Mailing address
PO BOX 3247, EVANSVILLE, IN 47731-3247
(812) 471-1591
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
D0079989
MD
2085R0202X
Diagnostic Radiology Physician
D0079989
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD463556
PA
390200000X
Student in an Organized Health Care Education/Training Program
0116024813
VA
Other
Enumeration date
06/15/2012
Last updated
04/22/2025
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