Individual
SUNDARESAN T SAMBANDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 PONTIAC AVE, SUITE 101, CRANSTON, RI 02920-4456
(401) 943-4660
(401) 943-0240
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
05372
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002589
BC/BS OF RI
RI
01
—
001994
BLUECHIP/RIBCBS
RI
01
—
005372
TUFTS HP
—
05
—
0173690
—
MA
01
—
0513005
US HEALTHCARE
—
01
—
2376
NEIGHBORHOOD HEATH PLAN
RI
01
—
30-00050
UHC OF NE,INC
RI
01
—
4549333
AETNA
—
05
—
7003434
—
RI
01
—
720024001
CIGNA
—
01
—
9475RIH
HARVARD PILGRIM HP
—
01
—
RI0007390
TRICARE
—
Enumeration date
12/01/2005
Last updated
08/15/2024
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