Provider Demographics
NPI:1265514129
Name:KUMAR, NUPUR (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:NUPUR
Middle Name:
Last Name:KUMAR
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:MRS
Other - First Name:NUPUR
Other - Middle Name:KUMAR
Other - Last Name:SINGHANIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1245 WILSHIRE BLVD STE 607
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-4806
Mailing Address - Country:US
Mailing Address - Phone:213-977-0187
Mailing Address - Fax:213-977-1312
Practice Address - Street 1:1245 WILSHIRE BLVD STE 607
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-4806
Practice Address - Country:US
Practice Address - Phone:213-977-0187
Practice Address - Fax:213-977-1312
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7896207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1662835Medicaid
CA1662835Medicaid