Individual
BIRENDRA S KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
110105 PIONEER W TRL 302, CHASKA, MN 55318-2680
(952) 361-5800
(952) 361-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39113
MN
207RH0003X
Hematology & Oncology Physician
Primary
39113
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0593046
—
IA
01
—
115710
UCARE
MN
05
—
256514500
—
MN
01
—
335L2KU
BCBS
MN
01
—
3600541
MEDICA
MN
01
—
41084933956001C219
CHAMPUS
—
01
—
773738
AMERICAS PPO
MN
01
—
HP21623
HEALTH PARTNERS
MN
01
—
NA2951011969
PREFERRED ONE
MN
01
—
P00211303
RR MEDICARE
—
Enumeration date
01/10/2006
Last updated
09/09/2016
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