Individual
SAMBASIVA KAMINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2473
(718) 275-2673
Mailing address
26 CLUB DR, ROSLYN HEIGHTS, NY 11577-2602
(516) 484-2326
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
214050
NY
2086S0129X
Vascular Surgery Physician
Primary
214050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007447135
AETNA
NY
01
—
0199264
GHI
NY
05
—
02081872
—
NY
01
—
162454
ELDERPLAN
NY
01
—
214050-A53
HEALTHFIRST
NY
01
—
2323323003
CIGNA
NY
01
—
34141P
HIP
NY
01
—
3C3295
HEALTHNET
NY
01
—
P2214925
OXFORD
NY
Enumeration date
06/22/2005
Last updated
06/15/2019
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