1659129260 NPI number — MS. SAPTADWEEPA SANGHAMITRA MBBS, MD

Table of content: MS. SAPTADWEEPA SANGHAMITRA MBBS, MD (NPI 1659129260)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659129260 NPI number — MS. SAPTADWEEPA SANGHAMITRA MBBS, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SANGHAMITRA
Provider First Name:
SAPTADWEEPA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MBBS, MD
Provider Gender Code:
F

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:
1659129260
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
JAKOBS SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES, UNIV
Provider Second Line Business Mailing Address:
DEPT. OF PEDIATRICS, 1001 MAIN ST, 5TH FLOOR
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:
716-232-0000
Provider Business Mailing Address Fax Number:
716-323-0390

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
JAKOBS SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES, UNIV
Provider Second Line Business Practice Location Address:
DEPT. OF PEDIATRICS, 1001 MAIN ST, 5TH FLOOR
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:
716-232-0000
Provider Business Practice Location Address Fax Number:
716-323-0390
Provider Enumeration Date:
05/08/2024

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: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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