MEDICARE: DR. KELASH KUMAR M.D

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	207R00000X	Internal Medicine Physician	70976	MN
2	207R00000X	Internal Medicine Physician	4301109825	MI
3	207R00000X	Internal Medicine Physician	35.136832	OH

General Provider Information

NPI Number	:	1326499542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELASH KUMAR M.D

Provider Business Mailing Address
First Line	:	PO BOX 636256
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-6256
Country	:	US
Telephone Number	:	513-585-6200
Fax Number	:	513-245-3672

Provider Business Practice Location Address
First Line	:	200 ALBERT SABIN WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45267-1450
Country	:	US
Telephone Number	:	513-475-7500
Fax Number	:	513-584-2090

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

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	05/20/2025

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