Provider Demographics
NPI:1518133313
Name:KUMAR, ANITA KIRAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:KIRAN
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:124 OAKMONT DR
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3960
Mailing Address - Country:US
Mailing Address - Phone:856-234-0073
Mailing Address - Fax:856-234-0073
Practice Address - Street 1:124 OAKMONT DR
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3960
Practice Address - Country:US
Practice Address - Phone:856-234-0073
Practice Address - Fax:856-234-0073
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07749400208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
077356Medicare Oscar/Certification