SUNDARESAN T SAMBANDAM (NPI# 1811971922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811971922 |
| Entity Type | Individual |
| Full Name | SUNDARESAN T SAMBANDAM |
| Credential | M.D. |
| Practice Address |
1220 Pontiac Ave Suite 101 Cranston RI 02920-4456 |
| Practice Telephone | 4019434660 |
| Practice Fax Number | 4019430240 |
| Mailing Telephone | 4019434660 |
| Mailing Fax Number | 4019430240 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2014-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
05372 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | RI0007390 | 01 | |
| US HEALTHCARE | 0513005 | 01 | |
| TUFTS HP | 005372 | 01 | |
| MA | 0173690 | 05 | |
| RI | 7003434 | 05 | |
| HARVARD PILGRIM HP | 9475RIH | 01 | |
| RI | UHC OF NE,INC | 30-00050 | 01 |
| RI | BLUECHIP/RIBCBS | 001994 | 01 |
| AETNA | 4549333 | 01 | |
| RI | BC/BS OF RI | 0000002589 | 01 |
| RI | NEIGHBORHOOD HEATH PLAN | 2376 | 01 |
| CIGNA | 720024001 | 01 |
| Street Address |
1220 PONTIAC AVE SUITE 101 |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821070418 | Plakyil Joseph Joseph | Internal Medicine | 1220 Pontiac Ave, Suite 101, Cranston, RI 02920-4455 | 2005-11-18 |
| 1710402987 | Susan Karen Hobin | Internal Medicine | 1220 Pontiac Ave, Cranston, RI 02920-4456 | 2017-08-09 |
| 1770836413 | Veena Balakrishnan Iyer | Internal Medicine | 1220 Pontiac Ave, Cranston, RI 02920-4456 | 2012-10-18 |
| 1134450406 | Meredith Anne Sherman | Nurse Practitioner | 1220 Pontiac Ave, Cranston, RI 02920-4456 | 2010-01-26 |
| 1881820587 | Fatima Zehra Raza | Internal Medicine | 1220 Pontiac Ave, Cranston, RI 02920-4456 | 2009-06-08 |
| 1801048798 | Pezza Orthodontics | Dentist | 1220 Pontiac Ave, Cranston, RI 02920-4456 | 2008-10-22 |
| 1588825285 | Gregory Frank Pezza | Dentist | 1220 Pontiac Ave, Cranston, RI 02920-4456 | 2008-06-24 |
| 1164599858 | Thomas David Puleo, Md, LLC | Pediatrics | 1220 Pontiac Ave, Suite 302, Cranston, RI 02920-4456 | 2006-11-29 |
| 1073523288 | Thomas D Puleo | Pediatrics | 1220 Pontiac Ave, Suite 302, Cranston, RI 02920-4456 | 2006-08-09 |
| 1538174909 | Hematology & Oncology Associates of Rhode Island, Inc. | Internal Medicine | 1220 Pontiac Ave, 101, Cranston, RI 02920-4456 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821070418 | Plakyil Joseph Joseph | Internal Medicine | 1220 Pontiac Ave, Suite 101, Cranston, RI 02920-4455 | 2005-11-18 |
| 1710402987 | Susan Karen Hobin | Internal Medicine | 1220 Pontiac Ave, Cranston, RI 02920-4456 | 2017-08-09 |
| 1881820587 | Fatima Zehra Raza | Internal Medicine | 1220 Pontiac Ave, Cranston, RI 02920-4456 | 2009-06-08 |
| 1538174909 | Hematology & Oncology Associates of Rhode Island, Inc. | Internal Medicine | 1220 Pontiac Ave, 101, Cranston, RI 02920-4456 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
| 1346356532 | Linda Rosarina Hassan | Internal Medicine | 73 Beechwood Ave, Pawtucket, RI 02860-5409 | 2006-08-22 |
| 1447266036 | Gary M Strauss | Internal Medicine | Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903 | 2006-08-01 |
| 1578509279 | Robert E Knisley | Internal Medicine | 11 Wells Street, Westerly, RI 02891 | 2006-06-21 |
| 1457309858 | Anthony Emmanuel Mega | Internal Medicine | 164 Summit Avenue, Fain 3, Providence, RI 02906-2853 | 2006-05-05 |
| 1548238918 | Muhammad Saeed Akhtar | Internal Medicine | 400 Warren Ave, Suite 01, East Providence, RI 02914-3807 | 2006-03-10 |
| 1205820222 | Joseph Dibenedetto Jr. | Internal Medicine | 193 Waterman St, Providence, RI 02906-4014 | 2005-09-06 |
| 1992706139 | Raymond F. Chaquette | Internal Medicine | 235 Plain St, Suite 203, Providence, RI 02905-3240 | 2005-08-10 |
| 1114927431 | David B. Stoll | Internal Medicine | 55 Hamlet Ave, Woonsocket, RI 02895-4432 | 2005-07-28 |
| 1417954199 | Gerald A Colvin | Internal Medicine | 85 Kenyon Ave, Wakefield, RI 02879-4213 | 2005-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.