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NPI Code Detail

MEDICARE: DR. INDIRA KUMAR M.D.

MEDICARE: DR. INDIRA 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
1390200000XStudent in an Organized Health Care Education/Training Program
22084N0402XNeurology with Special Qualifications in Child Neurology PhysicianMD 447674PA

General Provider Information

NPI Number : 1588828230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. INDIRA KUMAR M.D.
Provider Business Mailing Address
First Line : 2050 VOORHEES TOWN CENTER
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-1910
Country : US
Telephone Number : 856-346-0005
Fax Number : 800-691-4185
Provider Business Practice Location Address
First Line : 2050 VOORHEES TOWN CENTER
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-1910
Country : US
Telephone Number : 856-346-0005
Fax Number : 800-691-4185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2008
Last Update Date : 08/21/2024

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