Kumbar, Lalathaksha M

Kumbar, Lalathaksha M is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Technologists, Technicians & Other Technical Service Providers / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kumbar, Lalathaksha M can be contacted via phone (313) 916-2711.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (313) 916-2711
Fax: (313) 916-2554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301096740 Michigan
Technologists, Technicians & Other Technical Service Providers / Nephrology 246ZN0300X 4301096740 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301096740 Michigan

Profile Details

NPI number 1477755031
LBN Legal business name Kumbar, Lalathaksha M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Oct 11th, 2017 - about 7 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 1477755031 NPPES
New York MEDICAID 02903726

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