Individual
BOBBIE V. KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
604 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3122
(206) 533-2900
(206) 533-2901
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
068197
GA
207Q00000X
Family Medicine Physician
Primary
MD60605463
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125751A
—
GA
05
—
003125751B
—
GA
05
—
003125751C
—
GA
05
—
003125751D
—
GA
05
—
003125751F
—
GA
05
—
GA1349
—
SC
01
—
P01080856
RAILROAD MEDICARE
GA
Enumeration date
08/12/2008
Last updated
10/07/2020
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