Provider Demographics
NPI:1699453944
Name:KAMBHAMPATI, RUPA (LCPC)
Entity type:Individual
Prefix:MS
First Name:RUPA
Middle Name:
Last Name:KAMBHAMPATI
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 TWINBROOK PKWY
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-1201
Mailing Address - Country:US
Mailing Address - Phone:240-740-6791
Mailing Address - Fax:
Practice Address - Street 1:1000 TWINBROOK PKWY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20851-1201
Practice Address - Country:US
Practice Address - Phone:240-740-6791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health