| Doctor Name: | DR. NEIL KUMAR |
| NPI Number: | 1003813015 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD23318 |
| Business Practice Address: | 2510 Nw Edenbower Blvd Suite # 176 Roseburg, OR - 974718899 |
| Business Phone Number: | 5419571133 |
| Business Fax Number: | 5419571799 |
| Mailing Address: | 1632 Nw Edenbower Blvd, Suite 176 ROSEBURG |
| State: | OR |
| Postal Code: | 974708899 |
| Phone Number: | 5419571133 |
| Fax Number: | 5419571799 |
| NPI Enumeration Date: | 07/05/2005 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/20/2006 |
| NPI Reactivation Date: | 03/30/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD23318 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |