Provider Demographics
NPI:1235570805
Name:KUMAR, UJJWAL (MD)
Entity Type:Individual
Prefix:
First Name:UJJWAL
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:MERCY GASTROENTEROLOGY CLINIC
Mailing Address - Street 2:788 8TH AVENUE SE
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52401
Mailing Address - Country:US
Mailing Address - Phone:319-369-4542
Mailing Address - Fax:319-369-4543
Practice Address - Street 1:MERCY GASTROENTEROLOGY CLINIC
Practice Address - Street 2:788 8TH AVENUE SE
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401
Practice Address - Country:US
Practice Address - Phone:319-369-4542
Practice Address - Fax:319-369-4543
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-45784207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology