Provider Demographics
NPI:1417061045
Name:KUMAR, GRACE V (MD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:V
Last Name:KUMAR
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 674295
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-4295
Mailing Address - Country:US
Mailing Address - Phone:214-345-5660
Mailing Address - Fax:214-345-5680
Practice Address - Street 1:9301 N CENTRAL EXPY
Practice Address - Street 2:STE 180A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0806
Practice Address - Country:US
Practice Address - Phone:214-253-0170
Practice Address - Fax:214-292-6522
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1856208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0079MTOtherBCBS
TX179311901Medicaid
TX8F1369Medicare PIN
TXI44231Medicare UPIN