Provider Demographics
NPI:1194900878
Name:ASHOK KUMAR PC MD BC
Entity type:Organization
Organization Name:ASHOK KUMAR PC MD BC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:618-662-3018
Mailing Address - Street 1:433 E 7TH ST
Mailing Address - Street 2:PO BOX 40
Mailing Address - City:FLORA
Mailing Address - State:IL
Mailing Address - Zip Code:62839-1805
Mailing Address - Country:US
Mailing Address - Phone:618-662-3018
Mailing Address - Fax:618-662-4188
Practice Address - Street 1:433 E 7TH ST
Practice Address - Street 2:
Practice Address - City:FLORA
Practice Address - State:IL
Practice Address - Zip Code:62839-1805
Practice Address - Country:US
Practice Address - Phone:618-662-3018
Practice Address - Fax:618-662-4188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-01
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty