Provider Demographics
NPI:1790528313
Name:KUMAR, SUMEET KUMAR (MD)
Entity type:Individual
Prefix:MR
First Name:SUMEET
Middle Name:KUMAR
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 EL PASO DR PEDIATRIC RESIDENCY-TEXAS TECH UNIVERSI
Mailing Address - Street 2:
Mailing Address - City:EL PAS0
Mailing Address - State:TX
Mailing Address - Zip Code:79905
Mailing Address - Country:US
Mailing Address - Phone:915-215-4680
Mailing Address - Fax:915-545-6975
Practice Address - Street 1:5001 EL PASO DR PEDIATRIC RESIDENCY-TEXAS TECH UNIVERSI
Practice Address - Street 2:
Practice Address - City:EL PAS0
Practice Address - State:TX
Practice Address - Zip Code:79905
Practice Address - Country:US
Practice Address - Phone:915-215-4680
Practice Address - Fax:915-545-6975
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXBP10090545390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program