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Individual
DR. PRASHANTH VASANTHA KUMAR
Active
Individual
DR. PRASHANTH VASANTHA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A102091
CA
207RN0300X
Nephrology Physician
Primary
A102091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL408Z
MEDICARE PTAN
—
01
—
ZZZ26953Z
MEDICARE GROUP
CA
Enumeration date
06/15/2007
Last updated
03/07/2023
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