Provider Demographics
NPI:1992773444
Name:KUMAR, KRISHNA P (MD)
Entity type:Individual
Prefix:DR
First Name:KRISHNA
Middle Name:P
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1933 BENZ DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-5241
Mailing Address - Country:US
Mailing Address - Phone:325-669-1958
Mailing Address - Fax:325-672-2674
Practice Address - Street 1:301 DALLAS DR
Practice Address - Street 2:126
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5291
Practice Address - Country:US
Practice Address - Phone:940-243-2766
Practice Address - Fax:940-320-3570
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0560207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J2233Medicare PIN
TXD74686Medicare UPIN