MEDICARE: ARUN 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	2084N0400X	Neurology Physician	29830	AZ

General Provider Information

NPI Number	:	1477535078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARUN KUMAR M.D.

Provider Business Mailing Address
First Line	:	6750 E BAYWOOD AVE
Second Line	:	SUITE #502
City	:	MESA
State	:	AZ
Zip	:	85206-1749
Country	:	US
Telephone Number	:	480-854-7100
Fax Number	:	480-854-7900

Provider Business Practice Location Address
First Line	:	6750 E BAYWOOD AVE
Second Line	:	SUITE #502
City	:	MESA
State	:	AZ
Zip	:	85206-1749
Country	:	US
Telephone Number	:	480-854-7100
Fax Number	:	480-854-7900

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	06/10/2014

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