Kumar, Idya Praveen

Kumar, Idya Praveen is an individual health care provider with primary practice located at 13301 Miles Ave , Cleveland OH 44105-5521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kumar, Idya Praveen can be contacted via phone (216) 751-3100.

Contact Information

Primary practice address
13301 Miles Ave Cleveland OH 44105-5521
Fax: (216) 751-2480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35066270 Ohio

Profile Details

NPI number 1689677809
LBN Legal business name Kumar, Idya Praveen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 5th, 2024 - about 8 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689677809 NPPES
Ohio MEDICAID 0131351

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