Individual
SHANTANU KUMAR
Active
Individual
SHANTANU KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237092
VA
207R00000X
Internal Medicine Physician
232827
NY
Other
Enumeration date
03/26/2006
Last updated
09/11/2025
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