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NPI Code Detail

MEDICARE: SMITA RAJEEV KUMAR M.D

MEDICARE: SMITA RAJEEV 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
1207KA0200XAllergy Physician163227NY

General Provider Information

NPI Number : 1902880255
Entity Type Code : Individual
Provider Name (Legal Business Name) : SMITA RAJEEV KUMAR M.D
Provider Business Mailing Address
First Line : 6 PHEASANT RUN
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-3141
Country : US
Telephone Number : 718-231-6565
Fax Number : 718-231-8477
Provider Business Practice Location Address
First Line : 4350 VAN CORTLANDT PARK E
Second Line :
City : BRONX
State : NY
Zip : 10470-1875
Country : US
Telephone Number : 718-231-6565
Fax Number : 718-231-8477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 07/23/2013

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