Healthcare Provider Details

I. General information

NPI: 1225030141
Provider Name (Legal Business Name): ASHOK KUMAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9970 CENTRAL PARK BLVD N STE 304
BOCA RATON FL
33428-2237
US

IV. Provider business mailing address

9970 CENTRAL PARK BLVD N STE 304
BOCA RATON FL
33428-2237
US

V. Phone/Fax

Practice location:
  • Phone: 561-482-6611
  • Fax: 561-482-3056
Mailing address:
  • Phone: 570-898-1310
  • Fax: 561-482-3056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME121817
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME121817
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: