Provider Demographics
NPI:1629259932
Name:THUMAR, JAYKUMAR RANCHODBHAI (MD, MBBS)
Entity Type:Individual
Prefix:
First Name:JAYKUMAR
Middle Name:RANCHODBHAI
Last Name:THUMAR
Suffix:
Gender:M
Credentials:MD, MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 HAZARD AVE
Mailing Address - Street 2:JOHNSON MEMORIAL HOSPITAL/ CANCER CENTER
Mailing Address - City:ENFILED
Mailing Address - State:CT
Mailing Address - Zip Code:06082-4520
Mailing Address - Country:US
Mailing Address - Phone:860-272-2911
Mailing Address - Fax:
Practice Address - Street 1:142 HAZARD AVE
Practice Address - Street 2:CANCER CENTER
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-4520
Practice Address - Country:US
Practice Address - Phone:860-272-2911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT047107207R00000X
CT47107207RH0003X
CT0040328208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist