Provider Demographics
NPI:1306177662
Name:YASH KUMAR MD PA
Entity type:Organization
Organization Name:YASH KUMAR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:YASH
Authorized Official - Middle Name:
Authorized Official - Last Name:YUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-848-2203
Mailing Address - Street 1:826 WASHINGTON RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5750
Mailing Address - Country:US
Mailing Address - Phone:410-848-2203
Mailing Address - Fax:410-848-2283
Practice Address - Street 1:826 WASHINGTON RD
Practice Address - Street 2:SUITE 220
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5750
Practice Address - Country:US
Practice Address - Phone:410-848-2203
Practice Address - Fax:410-848-2283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18903208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5113Medicare UPIN