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NPI Code Detail

MEDICARE: DR. NIRMAL KUMAR KUMARADAS ANTONIO M.D

MEDICARE:  DR. NIRMAL KUMAR  KUMARADAS ANTONIO  M.D
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
1207R00000XInternal Medicine Physician2009017561MO
2207R00000XInternal Medicine PhysicianP1191TX

General Provider Information

NPI Number : 1518186451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIRMAL KUMAR KUMARADAS ANTONIO M.D
Provider Business Mailing Address
First Line : 24042 HIGHWAY 59 N
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-1500
Country : US
Telephone Number : 281-852-9000
Fax Number :
Provider Business Practice Location Address
First Line : 24042 HIGHWAY 59 N
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-1500
Country : US
Telephone Number : 281-852-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 11/28/2016

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Directions to “ DR. NIRMAL KUMAR KUMARADAS ANTONIO M.D” Practice Location

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