Healthcare Provider Details

I. General information

NPI: 1376517458
Provider Name (Legal Business Name): V HEMA KUMAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 12/18/2020
Certification Date: 12/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 S MAIN ST SUITE 203
GREENSBURG PA
15601-5385
US

IV. Provider business mailing address

300 CAMEO LN
GREENSBURG PA
15601-9230
US

V. Phone/Fax

Practice location:
  • Phone: 724-838-0870
  • Fax:
Mailing address:
  • Phone: 724-834-1326
  • Fax: 724-834-6685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD017853Y
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: