Provider Demographics
NPI:1689795833
Name:KUMAR, DEEPTI (MD)
Entity Type:Individual
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First Name:DEEPTI
Middle Name:
Last Name:KUMAR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5 NEPONSET STREET
Mailing Address - Street 2:WOT 2ND FL, STE C203
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606
Mailing Address - Country:US
Mailing Address - Phone:508-368-5532
Mailing Address - Fax:508-453-8062
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:SUITE 290 N
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608
Practice Address - Country:US
Practice Address - Phone:508-368-3130
Practice Address - Fax:508-368-3133
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2020-05-14
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Provider Licenses
StateLicense IDTaxonomies
MA209712207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease