Individual
DR. PRAVEEN KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N. STATE STREET, UNIV OF MS MED CTR., NEWBORN MEDICINE, JACKSON, MS 39216-4505
(601) 815-7158
Mailing address
2500 N. STATE STREET, UNIV OF MS MED CTR., NEWBORN MEDICINE, JACKSON, MS 39216-4505
(601) 815-7158
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036089967
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089967
—
IL
Enumeration date
05/19/2006
Last updated
01/02/2014
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