Individual
ANNANDITA TATABAI KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
106 MYERS FARM CT, CARY, NC 27519-5541
(919) 602-1627
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1841750353
IL
Other
Enumeration date
03/21/2019
Last updated
08/13/2019
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