Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 4301046214 | MI |
NPI | 1174636484 |
---|---|
Provider Name | Dr. Ashir Kumar |
First Address | East Lansing, MI 48824-1315 |
Second Address | East Lansing, MI 48824-1313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 15/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A79822 | (02) | MI |