Provider Demographics
NPI:1528051018
Name:KUMAR, ANANT (MD)
Entity type:Individual
Prefix:DR
First Name:ANANT
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 S BROADWAY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2632
Mailing Address - Country:US
Mailing Address - Phone:720-452-3355
Mailing Address - Fax:303-955-2513
Practice Address - Street 1:7720 S BROADWAY
Practice Address - Street 2:SUITE 240
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2632
Practice Address - Country:US
Practice Address - Phone:720-452-3355
Practice Address - Fax:303-955-2513
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37762207XS0117X, 207XX0801X, 207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO24757331Medicaid
COP00076494OtherMEDICARE RAILROAD
COCOB4208Medicare PIN
COP00076494OtherMEDICARE RAILROAD