Provider Demographics
NPI:1780058974
Name:KUMAR TRANSITIONS MHT PLLC
Entity type:Organization
Organization Name:KUMAR TRANSITIONS MHT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-633-4663
Mailing Address - Street 1:1201 LOOKOUT CIR
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7223
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1575 HERITAGE DR
Practice Address - Street 2:STE 205
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3288
Practice Address - Country:US
Practice Address - Phone:469-307-5826
Practice Address - Fax:877-489-3949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC374829Medicaid