Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | NK052469 | MI |
NPI | 1598704892 |
---|---|
Provider Name | Dr. Narendra R Kumar |
First Address | Saginaw, MI 48604-2834 |
Second Address | Saginaw, MI 48604-2834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 05/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4473197 | (05) | MI |
A75988 | (02) | MI |