Provider Demographics
NPI:1285230730
Name:KUMAR, NANDAN (RPH)
Entity Type:Individual
Prefix:
First Name:NANDAN
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2718 RAVENS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1683
Mailing Address - Country:US
Mailing Address - Phone:832-208-9794
Mailing Address - Fax:
Practice Address - Street 1:8719 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:HITCHCOCK
Practice Address - State:TX
Practice Address - Zip Code:77563-3113
Practice Address - Country:US
Practice Address - Phone:409-209-0847
Practice Address - Fax:409-209-0947
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist