Provider Demographics
NPI:1710902150
Name:KUMAR, ASHA RANI (MD)
Entity type:Individual
Prefix:MRS
First Name:ASHA
Middle Name:RANI
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 W SERVICE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3716
Mailing Address - Country:US
Mailing Address - Phone:626-960-6304
Mailing Address - Fax:626-960-3090
Practice Address - Street 1:820 W SERVICE AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3716
Practice Address - Country:US
Practice Address - Phone:626-960-6304
Practice Address - Fax:626-960-3090
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA294942080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine