Provider Demographics
NPI:1447437165
Name:ASHA R. KUMAR, M.D. INC.
Entity type:Organization
Organization Name:ASHA R. KUMAR, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:RANI
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-960-6304
Mailing Address - Street 1:820 W SERVICE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3716
Mailing Address - Country:US
Mailing Address - Phone:626-960-6304
Mailing Address - Fax:626-960-3090
Practice Address - Street 1:820 W SERVICE AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3716
Practice Address - Country:US
Practice Address - Phone:626-960-6304
Practice Address - Fax:626-960-3090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA294940208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0004480Medicaid
CAGR0004480Medicaid