SUDHA KUMAR (NPI# 1164439634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164439634 |
| Entity Type | Individual |
| Full Name | SUDHA KUMAR |
| Credential | M.D. |
| Practice Address |
2730-b Prosperity Avenue Fairfax VA 22031 |
| Mailing Address |
1701 N George Mason Dr Arlington VA 22205-3610 |
| Practice Telephone | 7032891400 |
| Practice Fax Number | 7032891414 |
| Mailing Telephone | 7032891400 |
| Mailing Fax Number | 7032891414 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
0101042238 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ECFMG | 3653219 | 01 |
| VA | 6709401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669525853 | Sudha Kumar | Pharmacist | 310 Story St, Boone, IA 50036-3530 | 2007-01-19 |
| 1275169187 | Sudha Raj Kumar | Nurse Practitioner | 2151 Century Ln, Johnson City, TN 37604-4469 | 2020-03-23 |
| 1518304831 | Sudha D. Kumar | Social Worker | 3621 Glencrest Dr, Modesto, CA 95355-8431 | 2013-05-28 |
| 1093822025 | Sudha Kumar | Specialist | 1202 E Sonterra Blvd, Suite 303, San Antonio, TX 78258-4089 | 2006-08-24 |
| Street Address |
2730-B PROSPERITY AVENUE |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821055609 | Fairfax Neonatal Associates | Pediatrics | 2730-b Prosperity Avenue, Fairfax, VA 22031-2238 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215977962 | John M North | Pediatrics | 2730-a Prosperity Avenue, Fairfax, VA 22031-4330 | 2006-06-08 |
| 1821055609 | Fairfax Neonatal Associates | Pediatrics | 2730-b Prosperity Avenue, Fairfax, VA 22031-2238 | 2006-04-27 |
| 1750371019 | Rajiv Baveja | Pediatrics | 2730 Prosperity Ave Ste B, Fairfax, VA 22031-4324 | 2005-10-26 |
| 1902846660 | Alan Edward Silk | Pediatrics | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-06-08 |
| 1114968641 | Stephen G Spurr | Pediatrics | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-06-08 |
| 1790756187 | Edwin Chester Doe Jr. | Pediatrics | 3300 Gallows Road, Inova Children's Hospital, Fairfax, VA 22042-1210 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649679754 | Wayne E Hachey | Pediatrics | 11 Laurel Ct, Nellysford, VA 22958-9554 | 2014-08-14 |
| 1942644588 | Shajeer Noorudeen | Pediatrics | 1000 E Broad St # 5-104, Richmond, VA 23219-1930 | 2013-04-25 |
| 1437415833 | Oleksandr Mikhailovich Kudin | Pediatrics | 1506 Willow Lawn Dr Ste 205, Richmond, VA 23230-3418 | 2012-04-10 |
| 1598050239 | Valerie Atienza Navarrete | Pediatrics | 13509 Leith Ct, Chantilly, VA 20151 | 2011-06-10 |
| 1699065425 | Jing Fang | Pediatrics | Inova Children's Hospital Nicu, 3300 Gallows Rd, Falls Church, VA 22042 | 2011-04-13 |
| 1952691164 | Melissa Lindsey Macomber-estill | Pediatrics | 4320 Seminary Rd # 3000, Alexandria, VA 22304-1535 | 2011-04-10 |
| 1780914085 | Pediatrix Newborn Hearing Screen LLC | Pediatrics | 4991 Lake Brook Dr, Suite 300, Glen Allen, VA 23060-9290 | 2010-01-08 |
| 1538496807 | Vanaja Nandini Alexander | Pediatrics | 3708 5th St S, Arlington, VA 22204-1681 | 2009-11-06 |
| 1679734412 | Harsh Datta | Pediatrics | 1001 Sam Perry Blvd, 3rd Floor Neonatology Office, Fredericksburg, VA 22401 | 2008-06-24 |
| 1932385606 | Tetyana H Nesterenko | Pediatrics | 5980 Richmond Hwy Apt 1-214, Alexandria, VA 22303-2739 | 2008-01-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.