Provider Demographics
NPI:1588442511
Name:KUMAR, MEERU (BDS, MSC, PG (CERT))
Entity type:Individual
Prefix:DR
First Name:MEERU
Middle Name:
Last Name:KUMAR
Suffix:
Gender:F
Credentials:BDS, MSC, PG (CERT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 GALATYN PKWY APT 3057
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-4418
Mailing Address - Country:US
Mailing Address - Phone:617-959-5156
Mailing Address - Fax:
Practice Address - Street 1:501 FM 548 STE 100
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6295
Practice Address - Country:US
Practice Address - Phone:469-322-8570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX400291223X0008X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology