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NPI Code Detail

MEDICARE: DR. PRAVEEN KUMRAH DPM

MEDICARE: DR. PRAVEEN KUMRAH DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristN005801NY

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 : 1568463842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRAVEEN KUMRAH DPM
Provider Business Mailing Address
First Line : 133 FINCH RD
Second Line :
City : RINGWOOD
State : NJ
Zip : 07456-2427
Country : US
Telephone Number : 718-618-0401
Fax Number : 347-479-1303
Provider Business Practice Location Address
First Line : 2015 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10453-4303
Country : US
Telephone Number : 718-299-7295
Fax Number : 718-299-6797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 09/08/2022

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