Healthcare Provider Details

I. General information

NPI: 1992937544
Provider Name (Legal Business Name): KUMAR PRIYANK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2009
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6408
  • Fax: 570-271-5845
Mailing address:
  • Phone: 570-271-6408
  • Fax: 570-271-5845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD493687
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: