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Organization
V. NANDA KUMAR, MD
Active
Organization
V. NANDA KUMAR, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN STOCKTON (OWNER)
(913) 583-9890
Entity
Organization
Contact information
Practice address
105 FAR WEST DR STE 203, SAINT JOSEPH, MO 64506-3514
(913) 364-3834
Mailing address
105 FAR WEST DR STE 203, SAINT JOSEPH, MO 64506-3514
(913) 364-3834
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17366015
BLUE CROSS BLUE SHIELD KC
MO
Enumeration date
09/27/2007
Last updated
09/27/2007
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