Provider Demographics
NPI:1629048772
Name:KUMARI-LOBO, KAMLESH (MD)
Entity Type:Individual
Prefix:DR
First Name:KAMLESH
Middle Name:
Last Name:KUMARI-LOBO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24353 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1917
Mailing Address - Country:US
Mailing Address - Phone:248-477-1610
Mailing Address - Fax:248-477-1613
Practice Address - Street 1:24353 ORCHARD LAKE RD
Practice Address - Street 2:SUITE E
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1917
Practice Address - Country:US
Practice Address - Phone:248-477-1610
Practice Address - Fax:248-477-1613
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIKK034366207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1606339592OtherBLUE CROSS BLUE SHIELD
MI1606339592OtherBLUE CARE NETWORK
MI4300536OtherAETNA
MI102483OtherPREFERRED CHOICES
MI102483OtherCARE CHOICES
MI6528991OtherCIGNA
MIC4982OtherM CARE
MI6528991OtherCIGNA
MIC4982OtherM CARE