Provider Demographics
NPI:1073618344
Name:CUMBERBATCH, KARYN-ANNE B (MD)
Entity Type:Individual
Prefix:DR
First Name:KARYN-ANNE
Middle Name:B
Last Name:CUMBERBATCH
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:PO BOX 392556
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9556
Mailing Address - Country:US
Mailing Address - Phone:713-806-1855
Mailing Address - Fax:979-532-6790
Practice Address - Street 1:3640 HAMPTON DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459
Practice Address - Country:US
Practice Address - Phone:713-806-1855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1642207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119091004Medicaid
TXJ1642OtherTX MEDICAL LICENSE
TX8W5590OtherBC/BS TX #
TXP00369794OtherTRAVELER'S MEDICARE #
TX119091008Medicaid
TXP01090446OtherRAILROAD MEDICARE PTAN
TX8DE524OtherBC/BS #
TXP00369794OtherTRAVELER'S MEDICARE #
TXP01090446OtherRAILROAD MEDICARE PTAN
TX119091004Medicaid