Provider Demographics
NPI:1851611370
Name:RUKMINI D. KUMAR, M.D., P.A.
Entity Type:Organization
Organization Name:RUKMINI D. KUMAR, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RUMKINI
Authorized Official - Middle Name:DOMALAPALLI
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-773-2230
Mailing Address - Street 1:8200 WEDNESBURY LN STE 112
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2931
Mailing Address - Country:US
Mailing Address - Phone:713-773-2230
Mailing Address - Fax:713-773-0440
Practice Address - Street 1:8200 WEDNESBURY LN STE 112
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2931
Practice Address - Country:US
Practice Address - Phone:713-773-2230
Practice Address - Fax:713-773-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2948208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111952102Medicaid
TX111952103Medicaid