MEDICARE: YUVARAJ DARREN KUMAR MD

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	207RI0011X	Interventional Cardiology Physician	K9320	TX
2	207RC0000X	Cardiovascular Disease Physician	K9320	TX

General Provider Information

NPI Number	:	1194783274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUVARAJ DARREN KUMAR MD

Provider Business Mailing Address
First Line	:	1617 HEMPHILL ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4709
Country	:	US
Telephone Number	:	817-927-1395
Fax Number	:	817-927-3603

Provider Business Practice Location Address
First Line	:	800 8TH AVE
Second Line	:	SUITE 406
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2601
Country	:	US
Telephone Number	:	817-336-4278
Fax Number	:	817-335-1650

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	02/07/2020

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