Provider Demographics
NPI:1417982513
Name:KUMAR, MEENAKSHI B (MD)
Entity Type:Individual
Prefix:DR
First Name:MEENAKSHI
Middle Name:B
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 WORCESTER ST
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-5506
Mailing Address - Country:US
Mailing Address - Phone:781-431-1333
Mailing Address - Fax:781-431-1933
Practice Address - Street 1:170 WORCESTER ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-5506
Practice Address - Country:US
Practice Address - Phone:781-431-1333
Practice Address - Fax:781-431-1933
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine