Provider Demographics
NPI:1841448511
Name:KUMAR, DHARMENDRA (MD)
Entity type:Individual
Prefix:
First Name:DHARMENDRA
Middle Name:
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:PO BOX 925003
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77292-5003
Mailing Address - Country:US
Mailing Address - Phone:832-930-1202
Mailing Address - Fax:
Practice Address - Street 1:1919 NORTH LOOP W STE 280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1368
Practice Address - Country:US
Practice Address - Phone:832-930-1202
Practice Address - Fax:832-304-6385
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP31842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX312211103Medicaid
TX312211101Medicaid