Individual
SUDHIR CHANDRAMOHAN KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 PLEASANT ST, SUITE 300, DES MOINES, IA 50309-1423
(515) 241-4000
(515) 282-9806
Mailing address
1221 PLEASANT ST, SUITE 300, DES MOINES, IA 50309-1423
(515) 241-4200
(515) 241-4048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44565
MN
207RI0200X
Infectious Disease Physician
Primary
34520
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-05438
MEDICA
MN
01
—
087M8KU
BLUE CROSS
MN
05
—
087M8KU
—
MN
05
—
1417931700
—
IA
05
—
142196
—
MN
01
—
303919
ARAZ
MN
05
—
319218100
—
MN
01
—
7751
AVERA
MN
01
—
A060
CHAMPUS
MN
01
—
HP35883
HEALTH PARTNERS
MN
01
—
MH9041031102
PREFERRED ONE
MN
Enumeration date
12/01/2005
Last updated
05/22/2012
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