Individual
DR. CHANDRASHEKAR KUMBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4015 GATEWAY BLVD, SUITE 2120, NEWBURGH, IN 47630-9460
(812) 842-0907
(812) 464-0555
Mailing address
4015 GATEWAY BLVD, SUITE 2120, NEWBURGH, IN 47630-9460
(812) 842-0907
(812) 464-4485
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01058079A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01058079A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297981
ANTHEM
—
05
—
200482160A
—
IN
05
—
64087463
—
KY
Enumeration date
04/10/2006
Last updated
03/04/2021
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