Provider Demographics
NPI:1467613588
Name:KUMAR, TARUN MOHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:TARUN
Middle Name:MOHAN
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:730 WOODSIDE RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-3749
Mailing Address - Country:US
Mailing Address - Phone:650-368-8800
Mailing Address - Fax:650-368-8809
Practice Address - Street 1:730 WOODSIDE RD
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061
Practice Address - Country:US
Practice Address - Phone:650-368-8800
Practice Address - Fax:650-368-8809
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV26055207Q00000X
CA146911207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine