Provider Demographics
NPI:1356594873
Name:KUMAR, NEERAJ (MD)
Entity type:Individual
Prefix:DR
First Name:NEERAJ
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NEERAJ
Other - Middle Name:
Other - Last Name:BHALLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1029 SHERMAN DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-1015
Mailing Address - Country:US
Mailing Address - Phone:646-932-6646
Mailing Address - Fax:516-515-7956
Practice Address - Street 1:529 BEACH 20TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-3615
Practice Address - Country:US
Practice Address - Phone:718-327-7307
Practice Address - Fax:718-328-3294
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250759207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine