Sushama Kotmire Thandla, MD

NPI #1003897414 in Salamanca, New York

Provider Information

NPI Number: 1003897414
Entity Type: Individual
Name: Sushama Kotmire Thandla, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 11, 2005
Last Updated: Feb 20, 2015

Practice Location

Address: 987 R C HOAG DR
City: Salamanca
State: New York
ZIP Code: 14779-1365
Phone: (716) 945-5894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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