Healthcare Provider Details

I. General information

NPI: 1801409636
Provider Name (Legal Business Name): ANAND KUMAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ANAND KUMAR

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 W FARIS RD STE 510
GREENVILLE SC
29605-4286
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 864-455-1770
  • Fax: 864-455-1775
Mailing address:
  • Phone: --
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberBP10072583
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number96545
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: