Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMPATH KUMAR SANTHANAM ETHIRAJ, M.B.B.S
Active Sole ProprietorDR. SAMPATH KUMAR SANTHANAM ETHIRAJ, M.B.B.S is a Internal Medicine healthcare provider located in FORT WAYNE, Indiana. NPI 1700033727 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · FORT WAYNE, IN
Registration Details
- NPI Number
- 1700033727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2008 (17.942652805629 yrs)
- Last Updated
- Oct 3, 2022
- Licenses
-
4301092338 (MI)01072529A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11109 PARKVIEW PLAZA DRFORT WAYNE, IN, 468451701Browse IN providers · Browse ZIP 46845
- Phone
- 2606726620
- Fax
- 2606726639
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| PREETI NANAK DEMBLA | M.D. | 1346248051 |
| MADHAVI CHILAKAMARRI | MD | 1013916394 |
| THOMAS S SCHUSSLER | M.D. | 1134128143 |
| DR. ANAYET UDDIN THAKUR | M.D. | 1467453936 |
| LINDA M LANDIN | MD | 1699767863 |
| TARIQ KAMAL SAMI | MD | 1528058039 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.