Provider Demographics
NPI:1841271269
Name:KUMAR, VIKRAMJEET (MD)
Entity type:Individual
Prefix:
First Name:VIKRAMJEET
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 1:673 E RIVER ST
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-5935
Mailing Address - Country:US
Mailing Address - Phone:440-322-0872
Mailing Address - Fax:440-322-4991
Practice Address - Street 1:673 E RIVER ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-5935
Practice Address - Country:US
Practice Address - Phone:440-322-0872
Practice Address - Fax:440-322-4991
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35090011207RE0101X
NJ25MA11759300207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00450029OtherRAILROAD CARE
OH000000533921OtherANTHEM BC/BS
OH2811194Medicaid
OHP00705947OtherRAILROAD CARE
OHP00705947OtherRAILROAD CARE
OH4225271Medicare PIN
OHH25476Medicare UPIN