Kumar, Prem C
Kumar, Prem C is an individual health care provider with primary practice located at 215 S Power Rd 102, Mesa AZ 85206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kumar, Prem C can be contacted via phone (480) 985-9005.Contact Information
Primary practice address
215 S Power Rd 102
Mesa AZ 85206
Phone: (480) 985-9005
Fax: (480) 649-3685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 12854 | Arizona |
Profile Details
| NPI number | 1700841350 |
|---|---|
| LBN Legal business name | Kumar, Prem C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Apr 29th, 2010 - about 15 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 | 1700841350 | NPPES |
| Arizona | Other | AZ0002430 | BCBS |
| Arizona | MEDICAID | 215104 | BCBS |
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