MEDICARE: VIGNESSH 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
1	207T00000X	Neurological Surgery Physician	A207444	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1649730359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIGNESSH KUMAR MD

Provider Business Mailing Address
First Line	:	135 91ST ST
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-4903
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 PARNASSUS AVE # A303
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2202
Country	:	US
Telephone Number	:	415-353-2739
Fax Number	:

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

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	03/27/2026

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