Active NPIIndividual provider

Dr. Kagnew A Mamo

Internal Medicine in Plattsburgh, New York

NPI Number1831043397
Practice location
154 Prospect Ave # 12901, Plattsburgh, NY 12901-1302
Fax
—
Last updated
February 23, 2026

Kagnew A Mamo is an Internal Medicine based in Plattsburgh, NY. Kagnew A Mamo practices in Plattsburgh, NY. The NPI Number for Kagnew A Mamo is 1831043397 and holds a License No. P140634 (NY). The current practice location address for Kagnew A Mamo is 154 Prospect Ave # 12901, Plattsburgh, NY 12901-1302 and can be reached out via phone at 516-862-1202.

Provider Profile Details

NPI Number
1831043397
Provider Name
Kagnew A Mamo
Provider Entity Type
Individual
Gender
Male
Address
154 Prospect Ave # 12901, Plattsburgh, NY 12901-1302
Phone Number
516-862-1202
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
February 23, 2026
Last Update Date
February 23, 2026
Certification Date
February 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
154 Prospect Ave # 12901
Plattsburgh, NY 12901-1302
Zip
12901-1302
Phone Number
516-862-1202
Plattsburgh, NY 12901Get directions →

Provider Business Mailing Address Details

Address
97 Elmwood St Apt 209
Cambridge, MA 02140-1176
City
Cambridge
State
MA
Zip
02140-1176

License Information

License Number
P140634
License State
NY
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kagnew A Mamo?

The NPI number of Dr. Kagnew A Mamo is 1831043397. It was assigned on February 23, 2026 and is currently active in the NPPES registry.

What is the specialty of Dr. Kagnew A Mamo?

Dr. Kagnew A Mamo is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number P140634.

Where does Dr. Kagnew A Mamo practice?

The practice location is 154 Prospect Ave # 12901, Plattsburgh, NY 12901-1302. The office can be reached at 516-862-1202 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831043397 directly on the NPPES registry website.

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