Kumar, Prerna

Kumar, Prerna is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-7106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Kumar, Prerna can be contacted via phone (309) 624-4945.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637-7106
Phone: (309) 624-4945
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DR.0053713 Colorado
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 036146970 Illinois

Profile Details

NPI number 1568752681
LBN Legal business name Kumar, Prerna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2011
Last updated Jan 31st, 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 1568752681 NPPES
Illinois MEDICAID 036146970

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