Individual
SHYAMALA KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6677 W THUNDERBIRD RD, STE D148, GLENDALE, AZ 85306-3769
(602) 843-3811
(602) 843-0044
Mailing address
6677 W THUNDERBIRD RD, STE D148, GLENDALE, AZ 85306-3769
(602) 843-3811
(602) 843-0044
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
28250
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
569353
—
AZ
05
—
7728238
—
AZ
Enumeration date
04/08/2006
Last updated
10/13/2020
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