Provider Demographics
NPI:1548448111
Name:KUMAR, PRATAP C (MD)
Entity type:Individual
Prefix:DR
First Name:PRATAP
Middle Name:C
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7531 S STONY ISLAND AVE
Mailing Address - Street 2:SUITE 172
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-3954
Mailing Address - Country:US
Mailing Address - Phone:773-947-7780
Mailing Address - Fax:630-789-0394
Practice Address - Street 1:7531 S STONY ISLAND AVE
Practice Address - Street 2:SUITE 172
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-3954
Practice Address - Country:US
Practice Address - Phone:773-947-7780
Practice Address - Fax:630-789-0394
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease