Provider Demographics
NPI:1144280538
Name:KUMAR, SAMPATH RAMASAMY (MD)
Entity type:Individual
Prefix:DR
First Name:SAMPATH
Middle Name:RAMASAMY
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7517 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3315
Mailing Address - Country:US
Mailing Address - Phone:718-630-5777
Mailing Address - Fax:718-630-5790
Practice Address - Street 1:7517 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3315
Practice Address - Country:US
Practice Address - Phone:718-630-5777
Practice Address - Fax:718-630-5790
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140466208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11292216501OtherTOUCHTONE HEALTH PARTNERS
NY172964OtherWELLCARE
NYKS318OtherOXFORD HEALTH PLANS
NY010140466NY01OtherAMERIHEALTH/MSSNY
NY020012418OtherMEDICARE/RR
NY11-2922165OtherCCN/HUMANA
NY164701OtherELDERPLAN
NY4C5510OtherHEALTHNET
NY4252465OtherAETNA/USHC
NY11-2922165OtherCONSUMER HEALTH NETW.
NY112922165KU01OtherCAREPLUS HEALTH PLAN
NY258980201OtherHEALTH PLUS
NY26864POtherHIP/HEALTHCARE PARTNERS
NYBKX0462-01OtherAMERICHOICE HEALTH PLAN
NY28A761OtherEMPIRE BC/BS
NY01071654Medicaid
NY802022OtherFIRST HEALTH NETW.
NY7420210-013OtherCIGNA HEALTHCARE