Organization
SHAILENDRA KUMAR M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILENDRA KUMAR M.D. (CHAIRMAN)
(301) 699-9513
Entity
Organization
Contact information
Practice address
6510 KENILWORTH AVE, 2200, RIVERDALE, MD 20737-1339
(301) 699-9513
(301) 864-8565
Mailing address
6510 KENILWORTH AVE, 2200, RIVERDALE, MD 20737-1339
(301) 699-9513
(301) 864-8565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0018198
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061985
USMLE / ECFMG
MD
01
—
D0018198
LICENCE NUMBER
MD
01
—
D0063012
LIC NUMBER
MD
01
—
M05021
STATE CDS NUMBER
MD
01
—
MD6694
LICENCE NUMBER
DC
Enumeration date
07/22/2006
Last updated
03/07/2023
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