Provider Demographics
NPI:1053195040
Name:KUMAR, VINESH (MD, MBBS)
Entity type:Individual
Prefix:
First Name:VINESH
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD, MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 KEARNY AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-2591
Mailing Address - Country:US
Mailing Address - Phone:917-325-5963
Mailing Address - Fax:
Practice Address - Street 1:SAINT MICHAELS MEDICAL CENTER
Practice Address - Street 2:111 CENTRAL AVE NEWARK
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07012
Practice Address - Country:US
Practice Address - Phone:973-877-5080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program