Provider Demographics
NPI:1891156311
Name:KUMAR MANAGEMENT GROUP, LLC
Entity Type:Organization
Organization Name:KUMAR MANAGEMENT GROUP, LLC
Other - Org Name:LAS VEGAS CARDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:KITTUSAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-853-5681
Mailing Address - Street 1:401 N BUFFALO DR
Mailing Address - Street 2:100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-0310
Mailing Address - Country:US
Mailing Address - Phone:702-853-5681
Mailing Address - Fax:702-675-6971
Practice Address - Street 1:401 N BUFFALO DR
Practice Address - Street 2:100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-0310
Practice Address - Country:US
Practice Address - Phone:702-853-5681
Practice Address - Fax:702-675-6971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty