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NPI Code Detail

MEDICARE: SARVADAMAN JEET KUMAR MD

MEDICARE: SARVADAMAN JEET 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
1207R00000XInternal Medicine Physician39805WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356367163
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARVADAMAN JEET KUMAR MD
Provider Business Mailing Address
First Line : 620 SMITH AVE
Second Line :
City : OCONTO
State : WI
Zip : 54153-1080
Country : US
Telephone Number : 920-496-4700
Fax Number :
Provider Business Practice Location Address
First Line : 620 SMITH AVE
Second Line :
City : OCONTO
State : WI
Zip : 54153-1080
Country : US
Telephone Number : 920-496-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 03/05/2013

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Directions to “ SARVADAMAN JEET KUMAR MD” Practice Location

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