| Kva Health Group Llc | |
|
200 Perrine Rd Ste 222 Old Bridge NJ 08857-2836 | |
| (516) 667-9476 | |
| (732) 264-3580 |
| Full Name | Kva Health Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Perrine Rd Ste 222, Old Bridge, New Jersey |
| Authorized Official Name and Position | Vinod Kumar (OWNER) |
| Authorized Official Contact | 5166679476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kva Health Group Llc 200 Perrine Rd Ste 222 Old Bridge NJ 08857-2836 Ph: (516) 667-9476 | Kva Health Group Llc 200 Perrine Rd Ste 222 Old Bridge NJ 08857-2836 Ph: (516) 667-9476 |
| NPI Number | 1285303388 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 05/25/2022 |
| Medicare PECOS PAC ID | 1557751872 |
|---|---|
| Medicare Enrollment ID | O20211201000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285303388 | NPI | - | NPPES |
| 25MA10648300 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vinod Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821544115 PECOS PAC ID: 1951718584 Enrollment ID: I20210329000299 |
| Provider Name | Unknown Komal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235616541 PECOS PAC ID: 8022421072 Enrollment ID: I20220817002021 |
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