Individual
SANTOSH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 N 22ND ST, BLAIR, NE 68008-1128
(402) 426-2182
Mailing address
810 N 22ND ST, BLAIR, NE 68008-1128
(402) 426-2182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32223
NE
207Q00000X
Family Medicine Physician
5825
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD39494
IA LICENSE
IA
Enumeration date
07/09/2008
Last updated
02/02/2023
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