Basic Information
| Provider Information | |||||||||
| NPI: | 1952382616 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KUMAR | ||||||||
| FirstName: | ADA | ||||||||
| MiddleName: | JAIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108070366 | ||||||||
| Practice Location | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108070366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2005 | ||||||||
| LastUpdateDate: | 12/17/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 036107038 | IL | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 6630432 | 01 | AETNA HMO | OTHER | 2327036 | 01 | UNITED HEALTHCARE | OTHER | 3507174000 | 01 | AMERIHEALTH | OTHER | 3507174000 | 01 | INDEPENDENCE BLUE CROSS | OTHER | P00610312 | 01 | MEDICARE RAILROAD | OTHER | 50076649 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 1567460 | 01 | GATEWAY HEALTH PLAN | OTHER | 20073609 | 01 | AMERIHEALTH MERCY | OTHER | 2023284 | 01 | HIGHMARK BLUE SHIELD | OTHER | 50076649 | 01 | KEYSTONE HEALTH PLAN CENTRAL | OTHER | 7359526 | 01 | AETNA PPO | OTHER | 116007 | 01 | GEISINGER HEALTH PLAN | OTHER | 3507174000 | 01 | KEYSTONE HEALTH PLAN EAST | OTHER |