Provider Demographics
NPI:1003197641
Name:KUMAR, BHAVIK (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:BHAVIK
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 GULF FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3548
Mailing Address - Country:US
Mailing Address - Phone:713-831-6240
Mailing Address - Fax:
Practice Address - Street 1:4600 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023
Practice Address - Country:US
Practice Address - Phone:713-522-3976
Practice Address - Fax:404-494-7435
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.145976207Q00000X
LA312179207Q00000X
FLME157907207Q00000X
TXQ2321207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX381581303Medicaid
TX381581302Medicaid
TX381581304Medicaid