Provider Demographics
NPI:1043062771
Name:KUMAR, ANEEL (MD)
Entity type:Individual
Prefix:
First Name:ANEEL
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 TANGLEWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:BINBROOK
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L0R1C0
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:RIVERSIDE INTERNAL MEDICINE PROGRAM, RIVERSIDE REGIONAL
Practice Address - Street 2:2ND FLOOR, 500 J.CLYDE MORRIS BLVD
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601
Practice Address - Country:US
Practice Address - Phone:757-612-7277
Practice Address - Fax:757-594-3184
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program