Healthcare Provider Details

I. General information

NPI: 1578943411
Provider Name (Legal Business Name): PRIYA ELIZABETH KUMAR-KAPARABOYNA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 TRINITY ST
AUSTIN TX
78712-1765
US

IV. Provider business mailing address

1601 TRINITY ST STOP Z0200
AUSTIN TX
78712-1850
US

V. Phone/Fax

Practice location:
  • Phone: 833-882-2737
  • Fax:
Mailing address:
  • Phone: 338-822-7378
  • Fax: 512-495-5680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberU6280
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: