Individual
ANJAN KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5224 E I 240 SERVICE RD STE 303, OKLAHOMA CITY, OK 73135-2607
(405) 608-3800
(405) 972-7552
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086655
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301086655
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301086655
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0502907
BLUE CROSS BLUE SHIELD PIN
MI
05
—
1447460142
—
MI
Enumeration date
05/23/2007
Last updated
06/06/2022
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