Provider Demographics
NPI:1043273253
Name:NAR, KISHORKUMAR GURDNANDAS (MD)
Entity Type:Individual
Prefix:DR
First Name:KISHORKUMAR
Middle Name:GURDNANDAS
Last Name:NAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:96 BALTIMORE ST
Mailing Address - Street 2:A
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-1836
Mailing Address - Country:US
Mailing Address - Phone:908-454-2212
Mailing Address - Fax:908-454-1218
Practice Address - Street 1:96 BALTIMORE ST
Practice Address - Street 2:A
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-1836
Practice Address - Country:US
Practice Address - Phone:908-454-2212
Practice Address - Fax:908-454-1218
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04758900207RP1001X
PAMD036323E207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
D06344Medicare UPIN
NJ415324Medicare ID - Type Unspecified
PA796780Medicare ID - Type Unspecified