Individual
DR. PRASANNA VENKATESH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1508
(315) 624-1963
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1508
(315) 624-1963
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
277527
NY
207RI0011X
Interventional Cardiology Physician
277527
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03972007
—
NY
01
—
277527
LICENSE
NY
Enumeration date
03/08/2007
Last updated
03/13/2025
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