Provider Demographics
NPI:1013007483
Name:KUMAR, ASHISH RAJOMDER (MD)
Entity Type:Individual
Prefix:
First Name:ASHISH
Middle Name:RAJOMDER
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 1:3333 BURNET AVE.
Mailing Address - Street 2:BMT & IMMUNE DEFICIENCY ML 7015
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-636-4266
Mailing Address - Fax:513-636-3549
Practice Address - Street 1:3333 BURNET AVE.
Practice Address - Street 2:BMT & IMMUNE DEFICIENCY ML 7015
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-4266
Practice Address - Fax:513-636-3549
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.093958208000000X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN548R4KUOtherBCBS
MNHP32343OtherHEALTH PARTNERS
MT0072063Medicaid
MN1026524OtherPREFERRED ONE
MN404954OtherFAIRVIEW
MN12-090256OtherMEDICA-PRIMARY
MN12-02989OtherMEDICA-CHOICE
MN160171OtherUCARE
1432508OtherARAZ
MN417672300Medicaid
MN1026524OtherPREFERRED ONE
370002886Medicare ID - Type Unspecified