Provider Demographics
NPI:1588739502
Name:KUMRA, VANDANA (MD)
Entity type:Individual
Prefix:DR
First Name:VANDANA
Middle Name:
Last Name:KUMRA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 CENTRAL PARK W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6003
Mailing Address - Country:US
Mailing Address - Phone:212-580-1483
Mailing Address - Fax:212-580-1486
Practice Address - Street 1:234 CENTRAL PARK W
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6003
Practice Address - Country:US
Practice Address - Phone:212-580-1483
Practice Address - Fax:212-580-1486
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198457207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0699928OtherGHI
NYN37874OtherPHS HEALTHNET
NY32418POtherHIP
NY05Z351OtherEMPIRE BCBS
NY8773793003OtherCIGNA
NYP1115566OtherOXFORD HEALTH PLANS
NY2018186OtherAETNA
NY05Z351Medicare ID - Type UnspecifiedMEDICARE
NY05Z351OtherEMPIRE BCBS