Organization
KUMAR MUKERJEE MD INC
Active
Other names
KUMAR MUKERJEE MD INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUMAR MUKERJEE MD (OWNER)
(937) 399-0453
Entity
Organization
Contact information
Practice address
25 W HARDING RD, SPRINGFIELD, OH 45504-1341
(937) 399-0453
(937) 399-2847
Mailing address
25 W HARDING RD, SPRINGFIELD, OH 45504-1341
(937) 399-0453
(937) 399-2847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35035615M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008671
ANTHEM
OH
05
—
0277365
—
OH
01
—
100007296
RAILROAD MEDICARE
OH
01
—
280562303003
MEDICAL MUTUAL OF OHIO
OH
01
—
2920111
UHC
OH
Enumeration date
06/10/2005
Last updated
03/13/2014
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