Individual
SUMEET KUMAR MAINIGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, HACKENBURG BUILDING 3RD FLOOR, PHILADELPHIA, PA 19141-3018
(215) 456-3930
(215) 456-3533
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-8735
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD420072
PA
207RC0000X
Cardiovascular Disease Physician
MT047303T
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD420072
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101995216
—
PA
Enumeration date
12/14/2006
Last updated
10/10/2014
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