| Doctor Name: | SHRAVAN REDDY KAMBAM |
| NPI Number: | 1124055272 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA0794300 |
| Business Practice Address: | 160 Pehle Avenue Saddle Brook, NJ - 076635227 |
| Business Phone Number: | 2018811000 |
| Business Fax Number: | 2012260401 |
| Mailing Address: | 1515 Broad Street, Suite B-130 BLOOMFIELD |
| State: | NJ |
| Postal Code: | 070033085 |
| Phone Number: | 9738737000 |
| Fax Number: | 9738737035 |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 03/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | 25MA0794300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |