Thampi, Samuel
Thampi, Samuel is an sole proprietor health care provider with primary practice located at 33 Walt Whitman Rd Ste-100, Huntington Station NY 11746-3640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Thampi, Samuel can be contacted via phone (631) 470-2021.Contact Information
Primary practice address
33 Walt Whitman Rd Ste-100
Huntington Station NY 11746-3640
Phone: (631) 470-2021
Fax: (631) 207-8567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 220673 | New York |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 220673 | New York |
Profile Details
| NPI number | 1215932447 |
|---|---|
| LBN Legal business name | Thampi, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Dec 12th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215932447 | NPPES |
| New York | MEDICAID | 02316865 |
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