Individual
DR. KARTHIC R KUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 J CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
68 S SERVICE RD, STE 350, MELVILLE, NY 11747-2358
(516) 945-3107
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101250566
VA
207L00000X
Anesthesiology Physician
016167
ME
207L00000X
Anesthesiology Physician
N6440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218912801
—
TX
05
—
218912802
—
TX
01
—
8CP189
BLUE CROSS BLUE SHIELD
TX
01
—
P00911616
RAILROAD MEDICARE
TX
Enumeration date
07/12/2006
Last updated
07/25/2016
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