Pankaj Kumar
Hematology & Oncology
8940 N Wood Sage Rd
Peoria
, Illinois 61615-7822
Pankaj Kumar
Hematology & Oncology
8940 N Wood Sage Rd
Peoria
, Illinois 61615-7822
(309) 243-3224
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Pankaj Kumar
- 8940 N Wood Sage Rd
- Peoria, IL
- Zip : 61615-7822
- Fax : (309) 243-3224
- Phone : (309) 243-3000
Second Address
- Pankaj Kumar
- 8940 N Wood Sage Rd
- Peoria, IL
- Zip : 61615-7822
- Fax : (309) 243-3224
- Phone : (309) 243-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 036118290 | IL |
National Provider Identifier
| NPI | 1073576922 |
|---|---|
| Provider Name | Pankaj Kumar |
| First Address | Peoria, IL 61615-7822 |
| Second Address | Peoria, IL 61615-7822 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2006 |
| Last Update Date | 09/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016560590004 | (05) | PA |
| G61475 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.