Provider Demographics
NPI:1528422029
Name:KUMAR, JYOTI (MD, MS)
Entity type:Individual
Prefix:
First Name:JYOTI
Middle Name:
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:JYOTI
Other - Middle Name:
Other - Last Name:DUGGAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MS
Mailing Address - Street 1:3445 EXECUTIVE CENTER DR STE 250
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1678
Mailing Address - Country:US
Mailing Address - Phone:512-579-4000
Mailing Address - Fax:
Practice Address - Street 1:3445 EXECUTIVE CENTER DR STE 250
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1678
Practice Address - Country:US
Practice Address - Phone:512-579-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316620207ZP0102X
TXV1815207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology