| Doctor Name: | MR. SANJEEV KUMAR |
| NPI Number: | 1073780953 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 5601004613 |
| Business Practice Address: | 7601 Fairbrook Rd Windsor Mill, MD - 212441652 |
| Business Phone Number: | 7344743708 |
| Business Fax Number: | |
| Mailing Address: | 7601 Fairbrook Rd, WINDSOR MILL |
| State: | MD |
| Postal Code: | 212441652 |
| Phone Number: | 7344743708 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2008 |
| NPI Last Update Date: | 06/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5601004613 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |