Provider Demographics
NPI:1215090592
Name:SARAN, KUMAR MANIAN (MD)
Entity type:Individual
Prefix:DR
First Name:KUMAR
Middle Name:MANIAN
Last Name:SARAN
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 1:4505 MIMOSA DR
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5801
Mailing Address - Country:US
Mailing Address - Phone:713-662-2775
Mailing Address - Fax:866-897-7809
Practice Address - Street 1:4505 MIMOSA DR
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-5801
Practice Address - Country:US
Practice Address - Phone:713-662-2775
Practice Address - Fax:866-897-7809
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7607207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145432401Medicaid
TX8022N0Medicare ID - Type Unspecified
TXH14214Medicare UPIN