Provider Demographics
NPI:1518100262
Name:KUMAR, SHICHA (MD)
Entity Type:Individual
Prefix:
First Name:SHICHA
Middle Name:
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:195 LITTLE ALBANY ST
Mailing Address - Street 2:ROOM 2040
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1914
Mailing Address - Country:US
Mailing Address - Phone:732-235-7563
Mailing Address - Fax:732-235-5260
Practice Address - Street 1:195 LITTLE ALBANY ST
Practice Address - Street 2:ROOM 2040
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1914
Practice Address - Country:US
Practice Address - Phone:732-235-7563
Practice Address - Fax:732-235-5260
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2024-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2532492086X0206X
NJ25MA098758002086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03261974Medicaid
NYJ400030159Medicare PIN