Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Venkat Kiran Kanchustambham, M/D

Individual provider Pulmonary Disease Physician · NPI 1851602999

Dr. Venkat Kiran Kanchustambham, M/D is a Pulmonary Disease in Fargo, North Dakota. Qualified in 2007, 19 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
19
Licensed in
ND
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

801 Broadway N
Fargo, ND 58102
Phone: (701) 234-2000
Fax: (701) 234-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 14482 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851602999
Entity typeIndividual (Type 1)
GenderMale
Credentials M/D
Sole proprietorNo
NPI enumeratedJune 23, 2010
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fargo