Basic Information
Provider Information
NPI: 1649287095
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUMAR
FirstName: ATUL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: UNM COMPREHENSIVE CANCER CENTER, DIV OF ONC, MSC07-4025
Address2: 1 UNIVERSITY OF NEW MEXICO, 1201 CAMINO DE SALUD NE
City: ALBUQUERQUE
State: NM
PostalCode: 871310001
CountryCode: US
TelephoneNumber: 5059250404
FaxNumber:  
Practice Location
Address1: UNM COMPREHENSIVE CANCER CENTER, HEMATOLOGY ONCOLOGY,
Address2: MSC07 4025, 1 UNIVERSITY OF NEW MEXICO
City: ALBUQUERQUE
State: NM
PostalCode: 87131
CountryCode: US
TelephoneNumber: 5052724946
FaxNumber: 5059250100
Other Information
ProviderEnumerationDate: 08/01/2006
LastUpdateDate: 04/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA86359CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RX0202XMD2018-0133NMY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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