Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 0101230821 | VA |
N | 2086S0129X | Vascular Surgeon | 30175 | WV |
NPI | 1114929395 |
---|---|
Provider Name | Dr. Mark H Kumar |
First Address | Winchester, VA 22601-2896 |
Second Address | Winchester, VA 22601-2808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 16/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H57283 | (02) | NJ |