Provider Demographics
NPI:1205983871
Name:KUMAR, ASHOK (MD)
Entity type:Individual
Prefix:DR
First Name:ASHOK
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 1:433 E 7TH ST
Mailing Address - Street 2:P.O. BOX 40
Mailing Address - City:FLORA
Mailing Address - State:IL
Mailing Address - Zip Code:62839-1805
Mailing Address - Country:US
Mailing Address - Phone:618-662-3018
Mailing Address - Fax:618-662-4188
Practice Address - Street 1:433 E 7TH ST
Practice Address - Street 2:
Practice Address - City:FLORA
Practice Address - State:IL
Practice Address - Zip Code:62839-1805
Practice Address - Country:US
Practice Address - Phone:618-662-3018
Practice Address - Fax:618-662-4188
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00029104OtherRAILROAD MEDICARE
IL1307317OtherBLUE CROSS BLUE SHIELD
ILF59359Medicare UPIN
ILP00029104OtherRAILROAD MEDICARE