1578133427 NPI number — VASANTHAN MUTHUSAMY KUMARASAMY MBBS

Table of content: VASANTHAN MUTHUSAMY KUMARASAMY MBBS (NPI 1578133427)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578133427 NPI number — VASANTHAN MUTHUSAMY KUMARASAMY MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MUTHUSAMY KUMARASAMY
Provider First Name:
VASANTHAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MBBS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578133427
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/20/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
665 ELM STREET, ROSEWELL PARK COMPREHENSIVE CANCER CENT
Provider Second Line Business Mailing Address:
8TH FLOOR, DEPT OF MEDICINE, P824, CSC BUILDING
Provider Business Mailing Address City Name:
BUFFALO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-845-2300
Provider Business Mailing Address Fax Number:
716-862-1871

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
665 ELM STREET, ROSEWELL PARK COMPREHENSIVE CANCER CENT
Provider Second Line Business Practice Location Address:
8TH FLOOR, DEPT OF MEDICINE, P824, CSC BUILDING
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-845-2300
Provider Business Practice Location Address Fax Number:
716-862-1871
Provider Enumeration Date:
07/01/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  340752 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)