Dr. Shyam Komandur
MD | Pediatrics | Male
Dr. Shyam Komandur, MD is a Fayetteville, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Shyam Komandur is
101 Robeson St, Suite 300, Fayetteville, North Carolina - 28301-5552. He can be contacted on phone at
910-609-1616 and fax number 910-609-1619.
Dr. Shyam Komandur is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Shyam Komandur is
1184616583 which was assigned by NPPES on 22 Aug, 2005 and it was last updated on 09 Jul, 2007.
Dr. Shyam Komandur license number is
96-00975 for Pediatrics (208000000X) in North Carolina.
Dr. Shyam Komandur is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Shyam Komandur basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Shyam Komandur |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Shyam Komandur address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 101 Robeson St, Suite 300
Fayetteville, NC, 28301-5552
United States |
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| Phone Number : | 910-609-1616 |
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| Fax Number : | 910-609-1619 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184616583 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Aug, 2005 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shyam Komandur are as mentioned. Primary taxonomy code for Dr. Shyam Komandur, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 96-00975 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shyam Komandur such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8950040 | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 41209
Fayetteville, NC, 28309-1209
United States |
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| Phone Number : | 910-609-6448 |
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| Fax Number : | 910-609-7040 |
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Business Location:
Patients can refer following map for directions to
Dr. Shyam Komandur practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.