Provider Demographics
NPI:1225040637
Name:KUMAR, VARINDER (MD)
Entity Type:Individual
Prefix:
First Name:VARINDER
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 1:3300 S FISKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4306
Mailing Address - Country:US
Mailing Address - Phone:321-434-9574
Mailing Address - Fax:321-951-7408
Practice Address - Street 1:8725 N WICKHAM RD STE 301
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940
Practice Address - Country:US
Practice Address - Phone:321-434-9574
Practice Address - Fax:321-434-9202
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME133760207RR0500X, 207RR0500X
CT043247208M00000X
CT43247207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJE983ZOtherMEDICARE
FL023123500Medicaid
FL023123500Medicaid
CT010043247CT01OtherANTHEM BC/BS
CT2V7230OtherHEALTH NET
CTP00288911OtherRAILROAD MEDICARE
TINOtherPIONEER
TINOtherPOMCO
TINOtherPHCS
FLJE983ZOtherMEDICARE
TINOtherNORTHEAST HEALTH DIRECT
CT043247OtherCONNECTICARE
CTTINOtherNATIONAL PROVIDER NETWOR
TINOtherNEHCA
CT3990831OtherAETNA
CTP3647094OtherOXFORD HEALTH PLANS
TINOtherMULTIPLAN
TINOtherFIRST HEALTH
CTTINOtherFOCUS
CTTINOtherGREAT WEST