MEDICARE: VICTOR KUMAR L.AC., M.AC.O.M.

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	171100000X	Acupuncturist	AC500097	DC

General Provider Information

NPI Number	:	1558596858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR KUMAR L.AC., M.AC.O.M.

Provider Business Mailing Address
First Line	:	5601 COLORADO AVE NW
Second Line	:	APT 1
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7813
Country	:	US
Telephone Number	:	607-237-4140
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 COLORADO AVE NW
Second Line	:	APT 1
City	:	WASHINGTON
State	:	DC
Zip	:	20011-7813
Country	:	US
Telephone Number	:	607-237-4140
Fax Number	:

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

Provider Enumeration Date	:	05/16/2009
Last Update Date	:	05/16/2009

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