Basic Information
| Provider Information | |||||||||
| NPI: | 1437100989 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AMPADI | ||||||||
| FirstName: | THAMPI | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | MD | ||||||||
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| OtherLastName: | THAMPI | ||||||||
| OtherFirstName: | AMPADI | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 280 CHESTNUT ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 011991001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137945700 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 48 SANDERSON ST | ||||||||
| Address2: | 2ND FL | ||||||||
| City: | GREENFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 013012778 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137732626 | ||||||||
| FaxNumber: | 4137732629 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2006 | ||||||||
| LastUpdateDate: | 11/15/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 246682 | MA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.