Provider Demographics
NPI:1992702625
Name:KUMARI, PUSHPA (MD)
Entity type:Individual
Prefix:DR
First Name:PUSHPA
Middle Name:
Last Name:KUMARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BROOKS LN
Mailing Address - Street 2:SUITE 120
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3747
Mailing Address - Country:US
Mailing Address - Phone:412-469-7202
Mailing Address - Fax:724-929-3229
Practice Address - Street 1:1200 BROOKS LN
Practice Address - Street 2:SUITE 120
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3747
Practice Address - Country:US
Practice Address - Phone:412-469-7202
Practice Address - Fax:724-929-3229
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4214692084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI21213Medicare UPIN