Provider Demographics
NPI:1962574871
Name:KUMAR, VIKRAM SHEEL (MD)
Entity type:Individual
Prefix:DR
First Name:VIKRAM
Middle Name:SHEEL
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 1:390 COMMONWEALTH AVE APT 605
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-2825
Mailing Address - Country:US
Mailing Address - Phone:617-236-4932
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF PATHOLOGY, BRIGHAM AND WOMEN'S HOSPITAL,
Practice Address - Street 2:AMORY 2, 75 FRANCIS STREET
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222587207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine