Healthcare Provider Details

I. General information

NPI: 1811685050
Provider Name (Legal Business Name): MANOJ KUMAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date: 11/29/2023
Reactivation Date: 11/30/2023

III. Provider practice location address

1840 AMHERST ST
WINCHESTER VA
22601-2808
US

IV. Provider business mailing address

1840 AMHERST ST
WINCHESTER VA
22601-2808
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101288757
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: