Individual
JAYA BADHWAR KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
95 COLUMBIA ST, ORLANDO, FL 32806-1101
(407) 849-9621
(407) 420-4056
Mailing address
95 COLUMBIA ST, ORLANDO, FL 32806-1101
(407) 849-9621
(904) 996-1446
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME134614
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME134614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023791300
—
FL
Enumeration date
06/13/2012
Last updated
04/20/2023
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