Organization
KUMAR PORTABLE XRAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANT KUMAR (MR)
(209) 575-4575
Entity
Organization
Contact information
Practice address
3621 GLENCREST DR, MODESTO, CA 95355-8431
(209) 575-4575
(209) 575-4598
Mailing address
PO BOX 4978, MODESTO, CA 95352-4978
(209) 575-4575
(209) 575-4598
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
RHF20122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XR0599710
—
CA
Enumeration date
04/28/2006
Last updated
05/20/2019
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