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NPI Code Detail

MEDICARE: KARAN KUMAR MD

MEDICARE: KARAN KUMAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084A0401XAddiction Medicine (Psychiatry & Neurology) Physician142753-1NY
22084P0800XPsychiatry Physician142753-1NY
32084P0805XGeriatric Psychiatry Physician142753-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063400042
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARAN KUMAR MD
Provider Business Mailing Address
First Line : 400 SUNRISE HWY
Second Line :
City : AMITYVILLE
State : NY
Zip : 11701-2508
Country : US
Telephone Number : 631-608-5620
Fax Number : 631-396-0382
Provider Business Practice Location Address
First Line : 400 SUNRISE HWY
Second Line :
City : AMITYVILLE
State : NY
Zip : 11701-2508
Country : US
Telephone Number : 631-608-5620
Fax Number : 631-396-0382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 09/11/2025

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Directions to “ KARAN KUMAR MD” Practice Location

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