MEDICARE: DR. ANITA BAKSHI KUMAR M.D.

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
1	207RG0100X	Gastroenterology Physician	MD038379	DC
2	207RG0100X	Gastroenterology Physician	0101275227	VA

General Provider Information

NPI Number	:	1154581502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANITA BAKSHI KUMAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 37174
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-3174
Country	:	US
Telephone Number	:	571-423-5699
Fax Number	:	571-423-5698

Provider Business Practice Location Address
First Line	:	44055 RIVERSIDE PKWY STE 106
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-5155
Country	:	US
Telephone Number	:	703-858-6202
Fax Number	:	703-858-6230

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	01/09/2023

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