Basic Information
Provider Information
NPI: 1447219506
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUMAR
FirstName: ARVIND
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3600 WOODVIEW TRCE
Address2: SUITE #400
City: INDIANAPOLIS
State: IN
PostalCode: 462683167
CountryCode: US
TelephoneNumber: 3178026412
FaxNumber: 3178700499
Practice Location
Address1: 1401 CHESTER BLVD
Address2:  
City: RICHMOND
State: IN
PostalCode: 473741908
CountryCode: US
TelephoneNumber: 7659833044
FaxNumber: 7659833044
Other Information
ProviderEnumerationDate: 03/18/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X01038579AINY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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