MEDICARE: DR. NARENDRA ANAND KUMTHEKAR 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	208600000X	Surgery Physician	224765	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1598822116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NARENDRA ANAND KUMTHEKAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 429
Second Line	:
City	:	HARRISON
State	:	NY
Zip	:	10528-0429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3943
Country	:	US
Telephone Number	:	718-692-1120
Fax Number	:

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	11/14/2008

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