Healthcare Provider Details

I. General information

NPI: 1548721046
Provider Name (Legal Business Name): AMAN KUMAR MBBS (MD EQUIVALENT)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 04/03/2024
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 ALBANY STREET, SUITE 7A SHAPIRO BLDG
BOSTON MA
02118
US

IV. Provider business mailing address

960 MASSACHUSETTS AVENUE FL 2
BOSTON MA
02118-2690
US

V. Phone/Fax

Practice location:
  • Phone: 617-414-8430
  • Fax: 617-388-4276
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1017274
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number1017274
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: