Basic Information
| Provider Information | |||||||||
| NPI: | 1558522003 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUMAR | ||||||||
| FirstName: | PARVEEN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1546 NW 56TH ST # 537 | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981075209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6078468041 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1025 MARSH ST | ||||||||
| Address2: | |||||||||
| City: | MANKATO | ||||||||
| State: | MN | ||||||||
| PostalCode: | 560014752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5076254031 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2008 | ||||||||
| LastUpdateDate: | 12/03/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD447163 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 64038 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 174-320 | WI | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 4301115459 | MI | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | MD447163 | PA | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 268250 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 60849418 | WA | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 64038 | MN | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 1027859010001 | 05 | PA | MEDICAID |