Provider Demographics
NPI:1912950684
Name:KUMAR, ARUN GOEL (MD)
Entity Type:Individual
Prefix:
First Name:ARUN
Middle Name:GOEL
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 1:315 N. HILLSIDE
Mailing Address - Street 2:SUITE A
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214
Mailing Address - Country:US
Mailing Address - Phone:316-685-5326
Mailing Address - Fax:316-685-3017
Practice Address - Street 1:315 N. HILLSIDE
Practice Address - Street 2:SUITE A
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214
Practice Address - Country:US
Practice Address - Phone:316-685-5326
Practice Address - Fax:316-685-3017
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS0420931208000000X
KS04-20931208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS04-20931Medicaid
KS100201710AMedicaid