Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 198457-1 | NY |
NPI | 1588739502 |
---|---|
Provider Name | Dr. Vandana Kumra |
First Address | New York, NY 10024-6003 |
Second Address | New York, NY 10024-6003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 06/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
05Z351 | EMPIRE BCBS (01) | NY |
0699928 | GHI (01) | NY |
2018186 | AETNA (01) | NY |
32418P | HIP (01) | NY |
8773793003 | CIGNA (01) | NY |
G71700 | (02) | NY |
N37874 | PHS HEALTHNET (01) | NY |
P1115566 | OXFORD HEALTH PLANS (01) | NY |