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NPI Code Detail

MEDICARE: SUBHADRA THAMPI MD

MEDICARE: SUBHADRA THAMPI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMT237218PA

General Provider Information

NPI Number : 1417889007
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUBHADRA THAMPI MD
Provider Business Mailing Address
First Line : 23 BREEZE DR
Second Line :
City : DAYTON
State : NJ
Zip : 08810-1445
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8835 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-2765
Country : US
Telephone Number : 215-753-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2026
Last Update Date : 05/30/2026

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