Individual
DR. PRASAD V KAMBHAMPATI
Active
Individual
DR. PRASAD V KAMBHAMPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1908371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00931237
MEDICAID
—
01
—
01573028
PALMETTO
—
01
—
050128000091
FIDELIS
—
01
—
100130750701
UNITED HEALTH MEDICAID
NY
01
—
10068155
CDPHP
NY
01
—
10495544
CAQH
NY
01
—
1307507
UHC
NY
05
—
1573028
—
NY
01
—
207045400
US DEPT OF LABOR
NY
01
—
54602A
MEDICARE
—
01
—
950862
MUP
—
Enumeration date
10/28/2005
Last updated
10/26/2010
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