Individual
DR. NISHITA SAMANTH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 315-6125
Mailing address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A206583
CA
390200000X
Student in an Organized Health Care Education/Training Program
PENDING
MO
Other
Enumeration date
03/30/2021
Last updated
08/06/2026
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