SHRUTI ADIDAM KUMAR M.B.B.S. - NPI 1861139008 - Internal Medicine in Jacksonville, FL

Q: What is Shruti Adidam Kumar's NPI number?

The NPI number for Shruti Adidam Kumar is 1861139008. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Q: What is Shruti Adidam Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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About Shruti Adidam Kumar M.b.b.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHRUTI ADIDAM KUMAR M.B.B.S. (NPI 1861139008) is an individual hematology & oncology provider in Jacksonville, Florida, licensed in Florida (ME179800) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1861139008

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameSHRUTI ADIDAM KUMARCredential: M.B.B.S.

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateMay 18, 2022

Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1861139008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in FL · ME179800

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE L WALSH PA-C/MPH

Physician Assistant