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NPI Code Detail

MEDICARE: DR. NISHANT KUMAR M.B.B.S.

MEDICARE: DR. NISHANT KUMAR M.B.B.S.
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1992647440
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NISHANT KUMAR M.B.B.S.
Provider Business Mailing Address
First Line : 723 1ST ST SW APT 1
Second Line :
City : ROCHESTER
State : MN
Zip : 55902-6223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2799 W GRAND BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48202-2608
Country : US
Telephone Number : 507-398-5808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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