Healthcare Provider Details

I. General information

NPI: 1417147349
Provider Name (Legal Business Name): AMIT KUMAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 01/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 TYLER ST STE 305
NASHUA NH
03060-2951
US

IV. Provider business mailing address

PO BOX 3677
NASHUA NH
03061-3677
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-3065
  • Fax: 603-577-3066
Mailing address:
  • Phone: 603-577-7900
  • Fax: 603-577-7972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number14422
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: