Kumar, Ajith J

Kumar, Ajith J is an individual health care provider with primary practice located at 2124 12Th Ave , Lewiston ID 83501-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kumar, Ajith J can be contacted via phone (208) 743-9986.

Contact Information

Primary practice address
2124 12Th Ave Lewiston ID 83501-3502
Phone: (208) 743-9986
Fax: (208) 743-1318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M-11158 Idaho
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M000036107 Washington

Profile Details

NPI number 1609952381
LBN Legal business name Kumar, Ajith J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Mar 12th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609952381 NPPES
Washington MEDICAID 1107572

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