Individual
VASANTHA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-0260
(716) 323-0294
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0260
(716) 323-0294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
001627
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
001627
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026121501
UNIVERA
—
01
—
000526779001
BC/BS
—
05
—
0019022970001
—
PA
05
—
02277470
—
NY
01
—
040426002836
FIDELIS
—
01
—
3611398
IHA
—
Enumeration date
03/14/2006
Last updated
01/13/2021
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