Provider Demographics
NPI:1306962949
Name:HARINATH V KUMAR MD INC
Entity type:Organization
Organization Name:HARINATH V KUMAR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARINATH
Authorized Official - Middle Name:V
Authorized Official - Last Name:KUMAR MD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-676-0111
Mailing Address - Street 1:32 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-1314
Mailing Address - Country:US
Mailing Address - Phone:814-676-0111
Mailing Address - Fax:814-677-0705
Practice Address - Street 1:32 SENECA ST
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-1314
Practice Address - Country:US
Practice Address - Phone:814-676-0111
Practice Address - Fax:814-677-0705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016120E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA340019165OtherRAILROAD MCR
PA0006019870001Medicaid
PAKU175412Medicare PIN
PA340019165OtherRAILROAD MCR