Kumar, Supriya Shamsunder

Kumar, Supriya Shamsunder is an individual health care provider with primary practice located at 330 N Wabash Ave Suite 400, Marion IN 46952-2780. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Kumar, Supriya Shamsunder can be contacted via phone (765) 660-7680.

Contact Information

Primary practice address
330 N Wabash Ave Suite 400 Marion IN 46952-2780
Phone: (765) 660-7680
Fax: (765) 671-3155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01062995A Indiana

Profile Details

NPI number 1801886205
LBN Legal business name Kumar, Supriya Shamsunder
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Oct 19th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801886205 NPPES
Indiana MEDICAID 200845260
Indiana Other 000000498499

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