# LALATHAKSHA M KUMBAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477755031
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301096740 | MI | Yes |
| 207RN0300X | Nephrology Physician | 4301096740 | MI | — |
| 246ZN0300X | Nephrology Specialist/Technologist | 4301096740 | MI | — |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 10/11/2017