Provider Demographics
NPI:1497805378
Name:KUMAR, PARVESH (MD)
Entity Type:Individual
Prefix:DR
First Name:PARVESH
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:4070 DELP MAIL STOP 4017
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2937
Mailing Address - Country:US
Mailing Address - Phone:913-588-3644
Mailing Address - Fax:913-588-3663
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MAIL STOP 4033
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2937
Practice Address - Country:US
Practice Address - Phone:913-588-3644
Practice Address - Fax:913-588-3663
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-341422085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS43435013OtherBCBS KANSAS CITY
KS200635610AMedicaid
KSE68146Medicare UPIN
CAWG86852AMedicare ID - Type UnspecifiedINDIVIDUAL MEDICARE ID