Provider Demographics
NPI:1952382616
Name:KUMAR, ADA JAIN (MD)
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:JAIN
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0361070382085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
6630432OtherAETNA HMO
2327036OtherUNITED HEALTHCARE
3507174000OtherAMERIHEALTH
3507174000OtherINDEPENDENCE BLUE CROSS
P00610312OtherMEDICARE RAILROAD
PA50076649OtherCAPITAL BLUE CROSS
1567460OtherGATEWAY HEALTH PLAN
20073609OtherAMERIHEALTH MERCY
2023284OtherHIGHMARK BLUE SHIELD
50076649OtherKEYSTONE HEALTH PLAN CENTRAL
7359526OtherAETNA PPO
116007OtherGEISINGER HEALTH PLAN
3507174000OtherKEYSTONE HEALTH PLAN EAST
1567460OtherGATEWAY HEALTH PLAN
123533Medicare PIN