Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kavita S Bommasamudram, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922589449

Dr. Kavita S Bommasamudram, MD is a Student in an Organized Health Care Education/Training Program in Wilkes Barre, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Wilkes Barre, PA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 655 Livingston St, Elizabeth, NJ 07206 — (908) 994-5000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD471297 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922589449
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2018
Last updated in NPPESNovember 1, 2021
Certification dateOctober 6, 2021

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