Kavitha Kumbum Physician, P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

227392 Issued in NY

Legal business name

KAVITHA KUMBUM PHYSICIAN, P.C.

Practice address

1650 Grand Concourse
Bronx, NY 10457

Phone

(201) 686-0155

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Kavitha Kumbum, MD

Title

President

Phone

(201) 686-0155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1144458654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-34 HUNTER PLACE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-686-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "201-686-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVITHA KUMBUM PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "KUMBUM",
        "authorized_official_first_name": "KAVITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-686-0155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "227392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miroslava Kautsis, D.D.S.
• Chauncey M Kautz
• Madeline Kautz
• Sofia Kavakoglou, D.M.D
• Julie Kavee, DPT
• Yuki Kawahara, MD
• Stephanie Ann Kawak
• Philip Kawesch, LCSW
• Kay Ray ENT Inc
• Ashley Brooke Kay

• Gastroenterology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.