SHRAVAN REDDY KAMBAM (NPI# 1124055272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124055272 |
| Entity Type | Individual |
| Full Name | SHRAVAN REDDY KAMBAM |
| Credential | M.D. |
| Practice Address |
160 Pehle Avenue Saddle Brook NJ 07663-5227 |
| Mailing Address |
1515 Broad Street Suite B-130 Bloomfield NJ 07003-3085 |
| Practice Telephone | 2018811000 |
| Practice Fax Number | 2012260401 |
| Mailing Telephone | 9738737000 |
| Mailing Fax Number | 9738737035 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
25MA0794300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
160 PEHLE AVENUE |
| City | SADDLE BROOK |
| State | NJ |
| Zip Code | 07663-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982120606 | Alexander Rumaczyk | Chiropractor | 299 Market Street, Suite 140, Saddle Brook, NJ 07663 | 2017-08-15 |
| 1134676612 | Pietra Valentina Leone | Physical Therapist | 5 Dyer Pl, Saddle Brook, NJ 07663 | 2016-09-01 |
| 1609249630 | Caringhouse Projects, Inc | Respite Care | 515 Dewey Avenue, Saddlebrook, NJ 07663 | 2015-11-13 |
| 1477942506 | Thimmel Chiropractic, LLC | Physical Therapist | 380 N. Midland Avenue, Saddle Brook, NJ 07663 | 2015-01-13 |
| 1609211275 | Krysbelle Alconis | Registered Nurse | 206 Wilson Street, Saddle Brook, NJ 07663 | 2013-05-08 |
| 1750685582 | Senior Citizen Aged & Disabled Alliance | Local Education Agency (LEA) | Ten Sampson Street, Unit 110, Saddle Brook, NJ 07663 | 2011-01-10 |
| 1164757274 | Martos Chiropractic Health Center, LLC | Chiropractor | 150 N. Midland Ave, Saddle Brook, NJ 07663 | 2009-10-07 |
| 1609095314 | Interim Healthcare of Saddle Brook, Inc. | Home Health | 15 5th Street, Saddle Brook, NJ 07663 | 2007-04-24 |
| 1336232065 | John R. Mully D.m.d., P.a. | Dentist | 337 Market Street, Saddle Brook, NJ 07663 | 2006-10-02 |
| 1952493967 | Batul S Ladak | Pediatrics | 50 Market Street, Second Floor, Saddle Brook, NJ 07663 | 2006-09-28 |
| Find all providers in zip 07663 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245273960 | Precision Brachy Therapy Associates, LLC | Radiology | 15 N 5th St, Suite 104, Saddle Brook, NJ 07663-6100 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255856423 | Lourdes Medical Associates, Pa | Radiology | 220 Sunset Rd Ste 4, Willingboro, NJ 08046-1126 | 2017-08-09 |
| 1851788772 | Byung Han Rhieu | Radiology | 33 Overlook Rd Ste L05, Summit, NJ 07901-3561 | 2015-04-17 |
| 1801206776 | Gary Eastwick | Radiology | Two Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103 | 2014-05-01 |
| 1568882900 | Matthew Listo | Radiology | 900 Route 70 # 1a, Lakewood, NJ 08701-5940 | 2014-04-24 |
| 1558641126 | Princeton Procure Management, LLC | Radiology | 103 Cedar Grove Ln, Somerset, NJ 08873-4717 | 2011-08-26 |
| 1902104573 | Jersey City Radiation Therapy LLC | Radiology | 631 Grand Street, Suite 1-1, Jersey City, NJ 07304 | 2011-03-07 |
| 1972807824 | Hackensack Radiation Therapy LLC | Radiology | 20 Woodridge Ave, Hackensack, NJ 07601-6013 | 2011-01-07 |
| 1477865426 | Megan A. Mezera | Radiology | Two Cooper Plaza 400 Haddon Ave, Camden, NJ 08103 | 2010-07-07 |
| 1609008333 | Alina Hirsh | Radiology | 2090 Springdale Road, Suite B, Cherry Hill, NJ 08003 | 2009-08-13 |
| 1225278518 | Susan M Weissman | Radiology | 22 Stratford Dr, Livingston, NJ 07039-5140 | 2009-02-25 |
| Find all providers with the same taxonomy | ||||
| City | SADDLE BROOK |
| Zip Code | 07663 |
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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.