Kamel H Ghandour M.D., LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

44176 Issued in CT

Legal business name

KAMEL H GHANDOUR M.D., LLC

Practice address

107 Glenbrook Rd
Stamford, CT 06902-3001

Phone

(203) 901-2222

NPI assigned

Feb 11, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sebastian P Swamidoss

Title

Account Manager

Phone

(203) 901-2222

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1083038038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023001",
            "telephone_number": "203-901-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023001",
            "telephone_number": "203-901-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMEL H GHANDOUR M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "SWAMIDOSS",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "203-901-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "44176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Anesthesiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.