Provider Demographics
NPI:1750128278
Name:KUMARI, ANAMIKA
Entity type:Individual
Prefix:DR
First Name:ANAMIKA
Middle Name:
Last Name:KUMARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15400 W ROOSEVELT ST APT 3115
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-0014
Mailing Address - Country:US
Mailing Address - Phone:480-527-8554
Mailing Address - Fax:
Practice Address - Street 1:ERIE RETINA RESEARCH LLC, A PENNSYLNANIA CORPORATION
Practice Address - Street 2:300 STATE STREET, SUITE 302
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507
Practice Address - Country:US
Practice Address - Phone:319-930-9046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PALT001027207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine