| Mrs Supriya Shamsunder Kumar, MD | |
|
330 N Wabash Ave, Suite 400, Marion, IN 46952-2780 | |
| (765) 660-7680 | |
| (765) 671-3155 |
| Full Name | Mrs Supriya Shamsunder Kumar |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 35 Years |
| Location | 330 N Wabash Ave, Marion, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801886205 | NPI | - | NPPES |
| 200845260 | Medicaid | IN | |
| 000000498499 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 01062995A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Winter haven, FL | Home health agency |
| Baycare Home Care Inc | Lakeland, FL | Home health agency |
| Lakeland Regional Medical Center | Lakeland, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radial Health Southeast Llc | 7113357476 | 24 |
| Entity Name | Radial Health Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174159891 PECOS PAC ID: 7113357476 Enrollment ID: O20200429000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Supriya Shamsunder Kumar, MD 330 North Wabash Ave, Suite G20, Marion, IN 46952-2600 Ph: (765) 660-7600 | Mrs Supriya Shamsunder Kumar, MD 330 N Wabash Ave, Suite 400, Marion, IN 46952-2780 Ph: (765) 660-7680 |
Dr. Ghislain Rivet, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 | |
Dr. Mohammed Nayeem Siddiqui, D.O. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 |