| Kuddythamby Sinnathamby, Md.,inc | |
|
5538 Philadelphia Dr Dayton OH 45415-3062 | |
| (937) 278-3625 | |
| (937) 278-3431 |
| Full Name | Kuddythamby Sinnathamby, Md.,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5538 Philadelphia Dr, Dayton, Ohio |
| Authorized Official Name and Position | Kitren B Sinnathamby (PRESIDENT) |
| Authorized Official Contact | 9372783625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuddythamby Sinnathamby, Md.,inc 5538 Philadelphia Dr Dayton OH 45415-3062 Ph: (937) 278-3625 | Kuddythamby Sinnathamby, Md.,inc 5538 Philadelphia Dr Dayton OH 45415-3062 Ph: (937) 278-3625 |
| NPI Number | 1174660831 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 10/29/2012 |
| Medicare PECOS PAC ID | 8022041953 |
|---|---|
| Medicare Enrollment ID | O20050912001306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174660831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35072640 (Ohio) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 35032806 (Ohio) | Secondary |
| Provider Name | Kitren B Sinnathamby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295834885 PECOS PAC ID: 9931132867 Enrollment ID: I20100921000225 |
| Provider Name | Mark A Ringle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497700678 PECOS PAC ID: 4082757083 Enrollment ID: I20101208000883 |
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