Provider Demographics
NPI:1134168982
Name:KUMAR, SARBJEET S (MD)
Entity type:Individual
Prefix:
First Name:SARBJEET
Middle Name:S
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 NORTHCREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-3963
Mailing Address - Country:US
Mailing Address - Phone:615-384-2714
Mailing Address - Fax:615-384-6568
Practice Address - Street 1:322 NORTHCREST DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3963
Practice Address - Country:US
Practice Address - Phone:615-384-2714
Practice Address - Fax:615-384-6568
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD010445174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2003844OtherBLUE CROSS
TNB02962Medicare UPIN