Individual
DR. KANTHA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9622
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
279622
NY
208M00000X
Hospitalist Physician
Primary
279622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04238299
—
NY
Enumeration date
08/18/2013
Last updated
01/06/2017
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