Bobba, Kumar
Bobba, Kumar is an sole proprietor health care provider with primary practice located at 1900 E Main St , Danville IL 61832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bobba, Kumar can be contacted via phone (217) 554-3000.Contact Information
Primary practice address
1900 E Main St
Danville IL 61832
Phone: (217) 554-3000
Fax: (217) 554-4807
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01076077A | Indiana |
Profile Details
NPI number | 1356320238 |
---|---|
LBN Legal business name | Bobba, Kumar |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 10th, 2006 |
Last updated | Oct 22nd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356320238 | NPPES |
Indiana | MEDICAID | 01076077A | |
Indiana | Other | 060061599 |
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