Provider Demographics
NPI:1952564445
Name:KUMAR, SATYENDRA (AUD)
Entity type:Individual
Prefix:DR
First Name:SATYENDRA
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 WARMSTONE CT
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5032
Mailing Address - Country:US
Mailing Address - Phone:615-356-4466
Mailing Address - Fax:
Practice Address - Street 1:1716 PARR AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-2073
Practice Address - Country:US
Practice Address - Phone:731-286-0149
Practice Address - Fax:731-286-6956
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1190231H00000X, 237600000X
TN2133235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter