MEDICARE: VARUNI H. KUMARA, DPM, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	1703	TX

General Provider Information

NPI Number	:	1194084806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VARUNI H. KUMARA, DPM, P.A.

Provider Business Mailing Address
First Line	:	5704 PANDALE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78261-2628
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5704 PANDALE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78261-2628
Country	:	US
Telephone Number	:	210-865-4406
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	VARUNI H. KUMARA
Credential	:	DPM
Telephone Number	:	210-865-4406

Provider Enumeration Date	:	05/15/2012
Last Update Date	:	05/15/2012

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