Provider Demographics
NPI:1861565566
Name:DR. RAJEEV KUMAR M.D.P.A.
Entity type:Organization
Organization Name:DR. RAJEEV KUMAR M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-838-0868
Mailing Address - Street 1:2424 W HOLCOMBE BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1934
Mailing Address - Country:US
Mailing Address - Phone:713-838-0868
Mailing Address - Fax:713-838-0898
Practice Address - Street 1:2424 W HOLCOMBE BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1934
Practice Address - Country:US
Practice Address - Phone:713-838-0868
Practice Address - Fax:713-838-0898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM11912084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1447343751OtherN.P.I.
TX0061MTOtherBLUE CROSS BLUE SHIELD
TX00W436Medicare PIN
TXF44740Medicare UPIN