Individual
DR. NISHANT KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102204840
VA
208M00000X
Hospitalist Physician
0102204840
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K-560-630-019-275
DRIVER'S LICENSE
MD
Enumeration date
06/17/2014
Last updated
05/22/2023
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