Provider Demographics
NPI:1356769194
Name:KUMAR, AASHISH JAY (MD, DABA)
Entity type:Individual
Prefix:DR
First Name:AASHISH
Middle Name:JAY
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD, DABA
Other - Prefix:DR
Other - First Name:AASHISH
Other - Middle Name:
Other - Last Name:KUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 63082
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28263-4137
Mailing Address - Country:US
Mailing Address - Phone:919-785-3400
Mailing Address - Fax:919-783-7778
Practice Address - Street 1:12610 N COMMUNITY HOUSE RD STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-3892
Practice Address - Country:US
Practice Address - Phone:704-610-3220
Practice Address - Fax:980-270-0333
Is Sole Proprietor?:No
Enumeration Date:2014-03-30
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301106216207L00000X
NC2019-02935207LP2900X, 208VP0014X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine