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Individual

GREGORY K KUMKUMIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6410 ROCKLEDGE DRIVE, SUITE 200, BETHESDA, MD 20817
(301) 897-5301
(301) 897-9589
Mailing address
6410 ROCKLEDGE DRIVE, SUITE 200, BETHESDA, MD 20817
(301) 897-5301
(301) 897-9589

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
D0057032
MD
207RC0000X
Cardiovascular Disease Physician
D0057032
MD
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
D0057032
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
809000900
MD
Enumeration date
06/19/2006
Last updated
05/09/2013
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