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NPI Code Detail

MEDICARE: KUMAR SURGICAL CENTER LLC

MEDICARE: KUMAR SURGICAL CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center636906MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11245399757OTHERMIUNITED HEALTH CARE
21245399757OTHERMICOFINITY,PPOM
340024OTHERMIBCBSM
41245399757OTHERMIHEALTH PLUUS

General Provider Information

NPI Number : 1245399757
Entity Type Code : Organization
Provider Name (Legal Business Name) : KUMAR SURGICAL CENTER LLC
Provider Business Mailing Address
First Line : 2450 WALTON BLVD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-1481
Country : US
Telephone Number : 248-453-0040
Fax Number : 248-453-0070
Provider Business Practice Location Address
First Line : 2450 WALTON BLVD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-1481
Country : US
Telephone Number : 248-453-0040
Fax Number : 248-453-0070
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANIL B KUMAR
Credential : MD
Telephone Number : 248-453-0040
Provider Enumeration Date : 12/08/2006
Last Update Date : 04/03/2026

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Directions to “KUMAR SURGICAL CENTER LLC ” Practice Location

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