Provider Demographics
NPI:1770716136
Name:KAUMUDI SOMNAY MD
Entity type:Organization
Organization Name:KAUMUDI SOMNAY MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAUMUDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMNAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-621-1585
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-0338
Mailing Address - Country:US
Mailing Address - Phone:718-621-1585
Mailing Address - Fax:718-621-1884
Practice Address - Street 1:5645 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5045
Practice Address - Country:US
Practice Address - Phone:718-621-1585
Practice Address - Fax:718-621-1884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197464207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty