Individual
MRS. SUPRIYA SHAMSUNDER KUMAR
Active
Individual
MRS. SUPRIYA SHAMSUNDER KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01062995A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000498499
ANTHEM
—
05
—
200845260
—
IN
Enumeration date
10/26/2005
Last updated
10/19/2020
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