Individual
DR. KUMAR MUKERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 W HARDING RD, SPRINGFIELD, OH 45504-1396
(937) 399-0453
(937) 399-2847
Mailing address
25 W HARDING RD, SPRINGFIELD, OH 45504-1396
(937) 399-0453
(937) 399-2847
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35035615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277365
—
OH
01
—
1215931969
NPI-TYPE 2
OH
Enumeration date
08/07/2007
Last updated
12/20/2007
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