Individual
SUSHIL V KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 HAZELWOOD AVE, LOUISVILLE, KY 40214
(502) 368-3937
(502) 368-0231
Mailing address
4940 HAZELWOOD AVE, LOUISVILLE, KY 40214
(502) 368-3937
(502) 368-0231
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18740
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047142
ANTHEM
KY
05
—
64187404
—
KY
Enumeration date
01/09/2007
Last updated
07/08/2007
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