Individual
MUDIT KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
VCU VIRGINIA TREATMENT CENTER FOR CHILDREN, 1308 SHERWOOD AVENUE, RICHMOND, VA 23220
(804) 828-3129
Mailing address
VCU VIRGINIA TREATMENT CENTER FOR CHILDREN, 1308 SHERWOOD AVENUE, RICHMOND, VA 23220
(804) 828-3129
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101273958
VA
2084P0804X
Child & Adolescent Psychiatry Physician
LP04907
RI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/16/2017
Last updated
06/09/2022
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