Provider Demographics
NPI:1780660944
Name:KUMAR, VINEY (MD)
Entity type:Individual
Prefix:
First Name:VINEY
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 1:2377 SYMPHONY CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8929
Mailing Address - Country:US
Mailing Address - Phone:515-225-3612
Mailing Address - Fax:
Practice Address - Street 1:2377 SYMPHONY CIR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8929
Practice Address - Country:US
Practice Address - Phone:515-225-3612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24553207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIA0148OtherJOHN DEERE PROVIDER #
IA24553OtherTRICARE PROVIDER #
IA0065805Medicaid
IA4275OtherMIDLANDS PROVIDER #
IA00618OtherBLUE SHIELD PROVIDER #
IA00618Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
IA0065805Medicaid