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1255853792

NPI Code Detail

MEDICARE: VISHAL KUMAR MD

MEDICARE: VISHAL KUMAR MD

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
1	2086S0102X	Surgical Critical Care Physician	036167108	IL
2	2086S0127X	Trauma Surgery Physician	MD.MD.70083028	WA
3	208600000X	Surgery Physician	MD.MD.70083028	WA

General Provider Information

NPI Number	:	1255853792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VISHAL KUMAR MD

Provider Business Mailing Address
First Line	:	8600 STATE ROUTE 91 STE 330
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61615-7835
Country	:	US
Telephone Number	:	309-691-4005
Fax Number	:

Provider Business Practice Location Address
First Line	:	1615 DELAWARE ST
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-2367
Country	:	US
Telephone Number	:	360-501-3500
Fax Number	:	360-501-3555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2017
Last Update Date	:	04/09/2026

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Directions to “ VISHAL KUMAR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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