Provider Demographics
NPI:1598704892
Name:KUMAR, NARENDRA R (MD)
Entity type:Individual
Prefix:DR
First Name:NARENDRA
Middle Name:R
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 1:4701 TOWNE CENTRE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2834
Mailing Address - Country:US
Mailing Address - Phone:989-793-1040
Mailing Address - Fax:989-793-7113
Practice Address - Street 1:4701 TOWNE CENTRE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2834
Practice Address - Country:US
Practice Address - Phone:989-793-1040
Practice Address - Fax:989-793-7113
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MINK052469207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4473197Medicaid
MI4473197Medicaid
MI0407309422Medicare ID - Type Unspecified