Healthcare Provider Details

I. General information

NPI: 1629311048
Provider Name (Legal Business Name): NEHA KUMAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 07/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MARKET ST
AKRON OH
44304-1619
US

IV. Provider business mailing address

1421 SENECA BLVD
BROADVIEW HEIGHTS OH
44147-2419
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3107
  • Fax:
Mailing address:
  • Phone: 440-212-8259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.128145
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: