| TP Indira MD PA | |
|
874 Walker Rd Ste B Dover DE 19904-2778 | |
| (302) 734-5438 | |
| Not Available |
| Full Name | TP Indira MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 874 Walker Rd Ste B, Dover, Delaware |
| Authorized Official Name and Position | Sambhab Kumar (PHYSICIAN) |
| Authorized Official Contact | 3027345438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| TP Indira MD PA 874 Walker Rd Ste B Dover DE 19904-2778 Ph: (302) 734-5438 | TP Indira MD PA 874 Walker Rd Ste B Dover DE 19904-2778 Ph: (302) 734-5438 |
| NPI Number | 1225061278 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 09/14/2016 |
| Medicare PECOS PAC ID | 7517855117 |
|---|---|
| Medicare Enrollment ID | O20040305000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225061278 | NPI | - | NPPES |
| 0000712302 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C1-0004842 (Delaware) | Primary |
| Provider Name | Sambhab Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750359840 PECOS PAC ID: 8022906627 Enrollment ID: I20110714000086 |
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