Individual
DR. PALLAVI PULLATIKURTHI KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-4710
(410) 601-8526
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-4710
(410) 601-8526
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0057256
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406533600
—
MD
01
—
C31152
R/R MEDICARE GROUP #
MD
01
—
P00198858
R/R MEDICARE PROVIDER #
MD
Enumeration date
06/14/2006
Last updated
04/07/2022
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