Provider Demographics
NPI:1639373202
Name:KUMAR, ALOK (MD)
Entity Type:Individual
Prefix:DR
First Name:ALOK
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
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:PO BOX 220403
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20153-0403
Mailing Address - Country:US
Mailing Address - Phone:703-626-1420
Mailing Address - Fax:703-865-6506
Practice Address - Street 1:3930 PENDER DR STE 350
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-0986
Practice Address - Country:US
Practice Address - Phone:703-865-8686
Practice Address - Fax:703-865-6506
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN38032084P0800X
VA01012468022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry