Kumar, Pankaj
Kumar, Pankaj is an individual health care provider with primary practice located at 8940 N Wood Sage Rd , Peoria IL 61615-7822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kumar, Pankaj can be contacted via phone (309) 243-3000.Contact Information
Primary practice address
8940 N Wood Sage Rd
Peoria IL 61615-7822
Phone: (309) 243-3000
Fax: (309) 243-3224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036118290 | Illinois |
Profile Details
| NPI number | 1073576922 |
|---|---|
| LBN Legal business name | Kumar, Pankaj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Apr 9th, 2019 - about 5 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 | 1073576922 | NPPES |
| Pennsylvania | MEDICAID | 016560590004 |
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