Healthcare Provider Details

I. General information

NPI: 1437100989
Provider Name (Legal Business Name): THAMPI K AMPADI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AMPADI THAMPI MD

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 11/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 SANDERSON ST 2ND FL
GREENFIELD MA
01301-2778
US

IV. Provider business mailing address

280 CHESTNUT ST 2ND FLOOR
SPRINGFIELD MA
01199-1001
US

V. Phone/Fax

Practice location:
  • Phone: 413-773-2626
  • Fax: 413-773-2629
Mailing address:
  • Phone: 413-794-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number246682
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: