Kumar, Prashanth Vasantha
Kumar, Prashanth Vasantha is an sole proprietor health care provider with primary practice located at 12675 Hesperia Rd , Victorville CA 92395-5878. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Kumar, Prashanth Vasantha can be contacted via phone (760) 241-3306.Contact Information
Primary practice address
12675 Hesperia Rd
Victorville CA 92395-5878
Phone: (760) 241-3306
Fax: (760) 241-5037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A102091 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A102091 | California |
Profile Details
| NPI number | 1821293382 |
|---|---|
| LBN Legal business name | Kumar, Prashanth Vasantha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1821293382 | NPPES |
| Other | BL408Z | MEDICARE PTAN | |
| Other | ZZZ26953Z | MEDICARE PTAN |
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