Provider Demographics
NPI:1235147158
Name:KUMAR, NARESH (MD)
Entity Type:Individual
Prefix:
First Name:NARESH
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:225 UNIVERSITY BLVD E
Mailing Address - Street 2:SUITE 303
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401
Mailing Address - Country:US
Mailing Address - Phone:205-345-4313
Mailing Address - Fax:205-345-4314
Practice Address - Street 1:225 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE 303
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401
Practice Address - Country:US
Practice Address - Phone:205-345-4313
Practice Address - Fax:205-345-4314
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL7801208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000043491Medicaid
AL000043491Medicaid
AL000043491Medicare ID - Type Unspecified