Individual
KRISHNAN S KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 A OPITZ BLVD, WOODRIDGE, VA 22191
(703) 494-0912
(240) 337-2652
Mailing address
1900 A OPITZ BLVD, WOODRIDGE, VA 22191
(703) 494-0912
(240) 337-2652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101042377
VA
208D00000X
General Practice Physician
0101042377
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6729436
—
VA
05
—
6729444
—
VA
Enumeration date
04/20/2006
Last updated
10/04/2016
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