National Provider Identifier
Sushama Kotmire Thandla, MD
Sushama Kotmire Thandla, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Salamanca, NY and a listed phone number of (716) 945-5894.
Profile Overview
- NPI
- 1003897414
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- November 11, 2005
- Last Updated
- February 20, 2015
Practice Location
- 987 R C Hoag Dr
- Salamanca, NY 14779-1365
Phone: (716) 945-5894
Mailing Address
- 112 Nolan Dr
- Allegany, NY 14706-1115
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1003897414
- Entity Type
- Individual
- Last Name
- Thandla
- First Name
- Sushama
- Middle Name
- Kotmire
- Credential
- MD
- Mailing Street Address
- 112 Nolan Dr
- Mailing City
- Allegany
- Mailing State
- NY
- Mailing ZIP Code
- 14706-1115
- Mailing Country
- US
- Practice Street Address
- 987 R C Hoag Dr
- Practice City
- Salamanca
- Practice State
- NY
- Practice ZIP Code
- 14779-1365
- Practice Country
- US
- Practice Phone
- (716) 945-5894
- Enumeration Date
- November 11, 2005
- Last Updated
- February 20, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)