Organization Active NPI

Surendra M Kumar M D PC

  • Urology Physician
  • Westland, MI
National Provider Identifier
1912118175
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
SK822018 Issued in MI
Legal business name
SURENDRA M KUMAR M D PC
Practice address
33116 Palmer Rd
Westland, MI 48186-5524
Phone
(734) 722-0004
NPI assigned
May 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Surendra M Kumar, M D
Title
President
Phone
(734) 722-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X SK822018 MI Primary

Addresses

Primary practice location

33116 Palmer Rd
Westland, MI 48186-5524

Mailing address

33116 Palmer Rd
Westland, MI 48186-5524
Phone (734) 722-0004

Other identifiers 1

IdentifierTypeStateIssuer
SK822018OtherMISTATE LICENSE

National Provider Directory

National Provider Directory

Locations

33116 Palmer Rd
Westland, MI 48186
Phone (734) 467-9620

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1912118175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33116 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865524",
            "telephone_number": "734-722-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33116 PALMER RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865524",
            "telephone_number": "734-722-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURENDRA M KUMAR M D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-26",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-722-0004",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MI",
            "license": "SK822018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SK822018",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.