Provider Demographics
NPI:1922447457
Name:PARIJAT KUMAR, FNU (PT)
Entity Type:Individual
Prefix:MR
First Name:FNU
Middle Name:
Last Name:PARIJAT KUMAR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 3RD ST
Mailing Address - Street 2:APTT. # 803
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79415-3438
Mailing Address - Country:US
Mailing Address - Phone:806-786-6229
Mailing Address - Fax:
Practice Address - Street 1:2717 3RD STREET
Practice Address - Street 2:APTT 803
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415
Practice Address - Country:US
Practice Address - Phone:806-786-6229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12279900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist