Kumar, Bommasamudram Ashwini

Kumar, Bommasamudram Ashwini is an individual health care provider with primary practice located at 215 N Midwest Blvd , Midwest City OK 73110-4320. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kumar, Bommasamudram Ashwini can be contacted via phone (405) 737-3491.

Contact Information

Primary practice address
215 N Midwest Blvd Midwest City OK 73110-4320
Phone: (405) 737-3491
Fax: (405) 737-5956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25189 Oklahoma
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 25189 Oklahoma
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 25189 Oklahoma

Profile Details

NPI number 1962508424
LBN Legal business name Kumar, Bommasamudram Ashwini
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Aug 27th, 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 1962508424 NPPES
Oklahoma MEDICAID 200096480A

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