Samuel, Shawn Kunjumon

Samuel, Shawn Kunjumon is an individual health care provider with primary practice located at 1825 Eastchester Rd , Bronx NY 10461-2301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Samuel, Shawn Kunjumon can be contacted via phone (718) 904-2400.

Contact Information

Primary practice address
1825 Eastchester Rd Bronx NY 10461-2301
Phone: (718) 904-2400
Fax: (718) 904-2827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 239243 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 239243 New York

Profile Details

NPI number 1649366204
LBN Legal business name Samuel, Shawn Kunjumon
Credentials DO, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649366204 NPPES
New York MEDICAID 02811374

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