Provider Demographics
NPI:1962018051
Name:KUMAR ANESTHESIA PAIN ASSOCIATES, INC
Entity Type:Organization
Organization Name:KUMAR ANESTHESIA PAIN ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-342-6480
Mailing Address - Street 1:301 W GRAND AVE UNIT 287
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-4640
Mailing Address - Country:US
Mailing Address - Phone:248-342-6480
Mailing Address - Fax:
Practice Address - Street 1:1154 W OHIO ST APT 102
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-0005
Practice Address - Country:US
Practice Address - Phone:248-342-6480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty