Healthcare Provider Details

I. General information

NPI: 1528051018
Provider Name (Legal Business Name): ANANT KUMAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 11/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 S BROADWAY SUITE 240
LITTLETON CO
80122-2632
US

IV. Provider business mailing address

7720 S BROADWAY SUITE 240
LITTLETON CO
80122-2632
US

V. Phone/Fax

Practice location:
  • Phone: 720-452-3355
  • Fax: 303-955-2513
Mailing address:
  • Phone: 720-452-3355
  • Fax: 303-955-2513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number37762
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number37762
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number37762
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: