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NPI Code Detail

MEDICARE: SANTHA KAMINENI M.D

MEDICARE: SANTHA KAMINENI M.D
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
1207V00000XObstetrics & Gynecology Physician217178NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12029761OTHERUNITED HEALTHCARE
20100086-08OTHERAMERICHOICE
30296876OTHERGHI
4P2478311OTHEROXFORD
5SK0705C810OTHERBLUECROSS
62234716002OTHERCIGNA
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
83C4804OTHERHEALTHNET
90007863210OTHERAETNA
10175158OTHERELDERPLAN

General Provider Information

NPI Number : 1750381174
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTHA KAMINENI M.D
Provider Business Mailing Address
First Line : 26 CLUB DR
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-2602
Country : US
Telephone Number : 516-484-2326
Fax Number : 718-275-2673
Provider Business Practice Location Address
First Line : 9525 QUEENS BLVD STE 2A
Second Line :
City : REGO PARK
State : NY
Zip : 11374-4510
Country : US
Telephone Number : 718-275-2672
Fax Number : 718-275-2673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 06/15/2019

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