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General NPI Number Information
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NPI Number | 1962063743
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Entity Type | Individual
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Provider Name | POOJA KUMAR MD
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Gender | Female
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 1100 DELBON AVE
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City | TURLOCK
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State | CA
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Zip | 95382-2021
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Country | US
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Telephone | 866-682-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 1185 W MOUNTAIN VIEW RD APT 3412
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2546
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Country | US
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Telephone | 917-826-0937
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A176594
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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