Provider Demographics
NPI:1548251390
Name:KUMAR, DEVINDER S (MD)
Entity type:Individual
Prefix:DR
First Name:DEVINDER
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:PO BOX 801688
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91380-1688
Mailing Address - Country:US
Mailing Address - Phone:661-257-7500
Mailing Address - Fax:661-257-7501
Practice Address - Street 1:23928 LYONS AVE STE 206
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2455
Practice Address - Country:US
Practice Address - Phone:661-257-7500
Practice Address - Fax:661-257-7501
Is Sole Proprietor?:No
Enumeration Date:2005-11-01
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207LP2900X207LP2900X
GA024964207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00264646DMedicaid
GA050030322OtherRAILROAD MEDICARE
GA05BDBKCMedicare ID - Type UnspecifiedANESTHESIA
GAD45889Medicare UPIN