Provider Demographics
NPI:1417011339
Name:CUMBERLAND VALLEY NEUROSURGICAL CONSULTANTS INC
Entity Type:Organization
Organization Name:CUMBERLAND VALLEY NEUROSURGICAL CONSULTANTS INC
Other - Org Name:CVNC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESEDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VASANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-263-3850
Mailing Address - Street 1:764 LINCOLN WAY E
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2710
Mailing Address - Country:US
Mailing Address - Phone:717-263-3850
Mailing Address - Fax:717-263-3379
Practice Address - Street 1:764 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2710
Practice Address - Country:US
Practice Address - Phone:717-263-3850
Practice Address - Fax:717-263-3379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4267152084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA560235Medicare ID - Type Unspecified
PA110007100Medicare Oscar/Certification
PA110007100Medicare PIN
E40991Medicare UPIN
PAA19390Medicare UPIN
I47801Medicare UPIN