Provider Demographics
NPI:1083409445
Name:KUMAR, SACHIT
Entity type:Individual
Prefix:
First Name:SACHIT
Middle Name:
Last Name:KUMAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 RACCOON RUN DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9342
Mailing Address - Country:US
Mailing Address - Phone:336-675-0778
Mailing Address - Fax:
Practice Address - Street 1:2903 PROFESSIONAL PARK DR STE A
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8573
Practice Address - Country:US
Practice Address - Phone:336-584-8132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program