Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101018000 | MI |
NPI | 1306038450 |
---|---|
Provider Name | Dr. Naveen Kumar |
First Address | Gilbert, AZ 85297-0429 |
Second Address | Gilbert, AZ 85297-0429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 10/01/2017 |