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General NPI Number Information
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NPI Number | 1487675492
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Entity Type | Organization
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Legal Business Name | SHAILENDRA KUMAR M.D.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6510 KENILWORTH AVE 2200
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City | RIVERDALE
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State | MD
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Zip | 20737-1339
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Country | US
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Telephone | 301-699-9513
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Fax | 301-864-8565
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Provider Business Mailing Address
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Address Line | 6510 KENILWORTH AVE 2200
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City | RIVERDALE
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State | MD
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Zip | 20737-1339
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Country | US
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Telephone | 301-699-9513
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Fax | 301-864-8565
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. SHAILENDRA KUMAR
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Credential | M.D.
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Telephone | 301-699-9513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0018198
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License Number State | MD
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