Individual
NITIN KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 62401-2121
(217) 540-2350
(217) 347-2323
Mailing address
900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 62401-2121
(217) 540-2350
(217) 347-2323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-134693
IL
207RG0100X
Gastroenterology Physician
Primary
036-134693
IL
207RG0100X
Gastroenterology Physician
247910
MA
Other
Enumeration date
01/18/2008
Last updated
12/20/2021
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