Healthcare Provider Details
I. General information
NPI: 1730206368
Provider Name (Legal Business Name): V. HEMA KUMAR, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1275 S MAIN ST STE 203
GREENSBURG PA
15601-5385
US
IV. Provider business mailing address
1275 S MAIN ST STE 203
GREENSBURG PA
15601-5385
US
V. Phone/Fax
- Phone: 724-838-0870
- Fax: 724-838-0873
- Phone: 724-838-0870
- Fax: 724-838-0873
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD017853Y |
| License Number State | PA |
VIII. Authorized Official
Name:
V. HEMA
KUMAR
Title or Position: PRESIDENT
Credential: MD
Phone: 724-838-0870