Healthcare Provider Details

I. General information

NPI: 1780058974
Provider Name (Legal Business Name): KUMAR TRANSITIONS MHT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2015
Last Update Date: 06/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 HERITAGE DR STE 205
MCKINNEY TX
75069-3288
US

IV. Provider business mailing address

1201 LOOKOUT CIR
WAXHAW NC
28173-7223
US

V. Phone/Fax

Practice location:
  • Phone: 469-307-5826
  • Fax: 877-489-3949
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIJAY KUMAR
Title or Position: MD
Credential:
Phone: 844-633-4663