Provider Demographics
NPI:1871715656
Name:VEENA KUMAR LLC
Entity type:Organization
Organization Name:VEENA KUMAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:VEENA
Authorized Official - Middle Name:VANMALA
Authorized Official - Last Name:VATS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-287-0890
Mailing Address - Street 1:1065 E OAKLAND CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-5443
Mailing Address - Country:US
Mailing Address - Phone:480-726-3693
Mailing Address - Fax:
Practice Address - Street 1:1065 E OAKLAND CT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-5443
Practice Address - Country:US
Practice Address - Phone:480-726-3693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34172207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty