Organization
KVA HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINOD KUMAR MD (OWNER)
(516) 667-9476
Entity
Organization
Contact information
Practice address
200 PERRINE RD STE 222, OLD BRIDGE, NJ 08857-2836
(516) 667-9476
(732) 264-3580
Mailing address
200 PERRINE RD STE 222, OLD BRIDGE, NJ 08857-2836
(516) 667-9476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10648300
STATE LICENSE
NJ
Enumeration date
09/10/2021
Last updated
05/25/2022
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