Individual
SUNIL KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 656-6116
(601) 656-5445
Mailing address
201 WILL AVE, PHILADELPHIA, MS 39350-9705
(810) 584-1261
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
21671
MS
207Q00000X
Family Medicine Physician
Primary
4301092329
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07574002
—
MS
Enumeration date
02/11/2011
Last updated
10/26/2011
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