Provider Demographics
NPI:1699724435
Name:KUMAR, ASHOK (MD)
Entity type:Individual
Prefix:DR
First Name:ASHOK
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 1:2215 HILL CHURCH HOUSTON RD
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-1470
Mailing Address - Country:US
Mailing Address - Phone:724-746-3110
Mailing Address - Fax:
Practice Address - Street 1:2215 HILL CHURCH HOUSTON RD
Practice Address - Street 2:SUITE # 3A
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-1470
Practice Address - Country:US
Practice Address - Phone:724-746-3110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018606E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA06050903Medicaid
251409292OtherTAX I D
KU128855Medicare ID - Type Unspecified
PA06050903Medicaid