Provider Demographics
NPI:1013959055
Name:KUMAR, YASH (MD)
Entity type:Individual
Prefix:
First Name:YASH
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 1:826 WASHINGTON ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157
Mailing Address - Country:US
Mailing Address - Phone:410-848-2203
Mailing Address - Fax:410-848-2283
Practice Address - Street 1:826 WASHINGTON ROAD
Practice Address - Street 2:SUITE 220
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157
Practice Address - Country:US
Practice Address - Phone:410-848-2203
Practice Address - Fax:410-848-2283
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD189003208600000X
MDD18903208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5113Medicare ID - Type Unspecified
MDB66826Medicare UPIN