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Individual
DR. VIJAY KUMAR
Active
Individual
DR. VIJAY KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,FCCP
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A46673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000022516
MEDICARE SUBMITTER NUMBER
CA
01
—
00A466730
BLUE SHIELD
CA
05
—
00A466730
—
CA
01
—
1689638587
NPI - INDIVIDUAL PROFESSIONAL TYPE 1
CA
01
—
1811024805
NPI - CORPORATION TYPE 2
CA
01
—
A46673
STATE LICENSE
CA
01
—
CMCSUBK0S
MCAL SUBMITTER NUMBER
CA
05
—
CMCSUBK0S
—
CA
01
—
GE519A
MEDICARE TYPE 2 PTAN EFFECT 6/27/2012
CA
01
—
GF413Z
MEDICARE TYPE 1 PTAN EFFECT 6/27/2012
CA
01
—
W15531
MEDICARE (PTAN) PROVIDER NUMBER
CA
Enumeration date
04/17/2006
Last updated
05/27/2026
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