Individual
SUSHAMA JAMPANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 MAIN ST, SUITE 210, NASHUA, NH 03060-2919
(603) 577-5315
(603) 577-5316
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12603
NH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
12603
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30205248
—
NH
Enumeration date
10/27/2006
Last updated
07/15/2014
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