MEDICARE: DR. ANGELISH 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	208800000X	Urology Physician	253759	NY

General Provider Information

NPI Number	:	1831381185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELISH KUMAR MD

Provider Business Mailing Address
First Line	:	62 E 88TH ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1151
Country	:	US
Telephone Number	:	646-389-0748
Fax Number	:	917-970-9443

Provider Business Practice Location Address
First Line	:	62 E 88TH ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1151
Country	:	US
Telephone Number	:	646-389-0748
Fax Number	:	917-970-9443

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

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	03/19/2020

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