Individual
DR. SANJAY KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1319 S. GLENBURNIE BLVD. SUITE D, NEW BERN, NC 28562
(252) 635-1699
(252) 635-9599
Mailing address
PO BOX 13727, NEW BERN, NC 28561-3727
(252) 635-1699
(252) 635-9599
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136PJ
BCBS
NC
05
—
89136PJ
—
NC
Enumeration date
01/10/2007
Last updated
07/08/2007
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