Provider Demographics
NPI:1295934495
Name:KUMAR, NAMITA M (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:NAMITA
Middle Name:M
Last Name:KUMAR
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3155 N POINT PKWY
Mailing Address - Street 2:BLDG E, SUITE 100
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5494
Mailing Address - Country:US
Mailing Address - Phone:770-475-6222
Mailing Address - Fax:
Practice Address - Street 1:3155 NORTH POINT PKWY
Practice Address - Street 2:BLDG E, SUITE 100
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-5494
Practice Address - Country:US
Practice Address - Phone:770-475-6222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5003363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical