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General NPI Number Information
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NPI Number | 1811990369
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Entity Type | Individual
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Provider Name | KANDASAMI SENTHILKUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2005
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 740 HOSPITAL DR STE 100
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City | BEAUMONT
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State | TX
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Zip | 77701-4663
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Country | US
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Telephone | 409-838-4338
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12685
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City | BEAUMONT
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State | TX
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Zip | 77726-2685
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Country | US
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Telephone | 409-838-4338
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | L1740
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License Number State | TX
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