Individual
DR. SHANTHA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 S GOLD DR, APACHE JUNCTION, AZ 85120-5035
(480) 962-0101
(480) 962-0202
Mailing address
99 S GOLD DR, APACHE JUNCTION, AZ 85120-5030
(480) 962-0101
(480) 962-0202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23951
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
23951
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
376592
AHCCCS
AZ
01
—
AZ 0742840
BC/BS
AZ
Enumeration date
07/25/2006
Last updated
04/12/2024
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