Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | D189003 | MD |
N | 208600000X | Surgeon | D189003 | MD |
Y | 208200000X | Surgeon | D18903 | MD |
Y | 208600000X | Surgeon | D18903 | MD |
NPI | 1013959055 |
---|---|
Provider Name | Yash Kumar |
First Address | Westminster, MD 21157 |
Second Address | Westminster, MD 21157 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 17/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B66826 | (02) | MD |