Provider Demographics
NPI:1386614741
Name:KUMAR, ANAND RAJ (MD)
Entity type:Individual
Prefix:DR
First Name:ANAND
Middle Name:RAJ
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:613 STEPHENSON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5985
Mailing Address - Country:US
Mailing Address - Phone:240-481-2701
Mailing Address - Fax:912-335-3461
Practice Address - Street 1:613 STEPHENSON AVE STE 101
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5985
Practice Address - Country:US
Practice Address - Phone:912-228-4605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA804152086S0122X
OH35.1302642086S0122X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery