MEDICARE: NAVEEN 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
1	207R00000X	Internal Medicine Physician	ME80294	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35331	OTHER	FL	BLUECROSS BLUESHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295729200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVEEN KUMAR MD

Provider Business Mailing Address
First Line	:	5462 EMMA LAKE CT
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32934-2838
Country	:	US
Telephone Number	:	321-752-4246
Fax Number	:	321-952-6296

Provider Business Practice Location Address
First Line	:	5462 EMMA LAKE CT
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32934-2838
Country	:	US
Telephone Number	:	321-752-4246
Fax Number	:	321-952-6296

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	07/08/2007

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Directions to “ NAVEEN KUMAR MD” Practice Location

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