Individual
AMITABH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 SE MONTEREY RD, SUITE 204, STUART, FL 34994-4512
(772) 781-5960
(772) 419-0190
Mailing address
1050 SE MONTEREY RD STE 204, STUART, FL 34994-4512
(772) 781-5960
(772) 419-0190
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2025027043
MO
207RG0100X
Gastroenterology Physician
80873
MN
207RG0100X
Gastroenterology Physician
81907
GA
207RG0100X
Gastroenterology Physician
Primary
ME0070846
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258389500
—
FL
Enumeration date
02/21/2006
Last updated
11/11/2025
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