Provider Demographics
NPI:1558596858
Name:KUMAR, VICTOR (LAC, MACOM)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:LAC, MACOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 COLORADO AVE NW
Mailing Address - Street 2:APT 1
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7813
Mailing Address - Country:US
Mailing Address - Phone:607-237-4140
Mailing Address - Fax:
Practice Address - Street 1:5601 COLORADO AVE NW
Practice Address - Street 2:APT 1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7813
Practice Address - Country:US
Practice Address - Phone:607-237-4140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-16
Last Update Date:2009-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC500097171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist