Provider Demographics
NPI:1760459424
Name:KUMARI, ALAMPUR VIJAYA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAMPUR
Middle Name:VIJAYA
Last Name:KUMARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VIJAYA
Other - Middle Name:
Other - Last Name:KUMARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2260 BARNBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-3130
Mailing Address - Country:US
Mailing Address - Phone:314-997-2277
Mailing Address - Fax:
Practice Address - Street 1:621 S NEW BALLAS RD
Practice Address - Street 2:SUITE 4005
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8232
Practice Address - Country:US
Practice Address - Phone:314-251-5016
Practice Address - Fax:314-567-1846
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9725207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201571015Medicaid
MO0047173OtherCIGNA
MO100114OtherMERCY HEALTH PLAN
MO0700218OtherUNITED HEALTHCARE
MO103071OtherHEALTHLINK
MO3972OtherHEALTHCARE USA
MO4670OtherBLUE SHIELD
MO729690OtherFIRST HEALTH
MO7415198OtherAETNA
MO1850OtherGROUP HEALTH PLAN
MO152800058Medicare PIN
MO100114OtherMERCY HEALTH PLAN
MO201571015Medicaid