Provider Demographics
NPI:1033216643
Name:KUMASHI, PADMAVATI RAJENDRA (MD)
Entity Type:Individual
Prefix:
First Name:PADMAVATI
Middle Name:RAJENDRA
Last Name:KUMASHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 CYPRESS STATION DR
Mailing Address - Street 2:G1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3054
Mailing Address - Country:US
Mailing Address - Phone:281-587-8777
Mailing Address - Fax:281-587-2577
Practice Address - Street 1:1125 CYPRESS STATION DR
Practice Address - Street 2:G1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3054
Practice Address - Country:US
Practice Address - Phone:281-587-8777
Practice Address - Fax:281-587-2577
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1192207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H23448Medicare UPIN
805783Medicare ID - Type Unspecified