Shawn Kunjumon Samuel in New Rochelle - Internal Medicine
Shawn Kunjumon Samuel - NPI 1649366204
Shawn Kunjumon Samuel is a Internal Medicine in New Rochelle, New York. Shawn Kunjumon Samuel practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shawn Kunjumon Samuel is 1649366204. The last update date is 2023-02-16.
Shawn Kunjumon Samuel's current location address is 102 Mountain Ave, New Rochelle, New York. You can contact this provider via phone number 9142698777 and fax number 8883000458. The mailing address for Shawn Kunjumon Samuel is 102 Mountain Ave, New Rochelle, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Kunjumon Samuel |
|---|---|
| Address | 102 Mountain Ave, New Rochelle, New York |
| Phone Number | 9142698777 |
| Fax Number | 8883000458 |
| Sole Proprietor | N |
| Credentials | DO, MS |
NPI Number Detail
| NPI Number | 1649366204 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2023-02-16 |
Provider Mailing Address Detail
| Address | 102 Mountain Ave |
|---|---|
| City | New Rochelle |
| State | New York (NY) |
| Post Code | 108044722 |
| Phone Number | 9142698777 |
| Fax Number | 8883000458 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 239243 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2811374 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shawn Kunjumon Samuel?
The Shawn Kunjumon Samuel has been issued the NPI (National Provider Identifier) 1649366204 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Shawn Kunjumon Samuel's physical address?
The Shawn Kunjumon Samuel is physically located at 102 Mountain Ave, in the city of New Rochelle, NY, with the postal code 108044722.
What is the area of specialization for Shawn Kunjumon Samuel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shawn Kunjumon Samuel is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649366204 to Shawn Kunjumon Samuel?
The Shawn Kunjumon Samuel received its 1649366204 assignment from the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the Shawn Kunjumon Samuel's information last updated?
The Shawn Kunjumon Samuel's information was last updated on 2023-02-16.