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NPI Code Detail

MEDICARE: PRADEEP KUMAR MD

MEDICARE: PRADEEP 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
12084P0804XChild & Adolescent Psychiatry PhysicianL8098TX

General Provider Information

NPI Number : 1609823608
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRADEEP KUMAR MD
Provider Business Mailing Address
First Line : 3920 ALMA DR
Second Line :
City : PLANO
State : TX
Zip : 75023-6748
Country : US
Telephone Number : 972-422-5939
Fax Number : 972-422-1280
Provider Business Practice Location Address
First Line : 3920 ALMA DR
Second Line :
City : PLANO
State : TX
Zip : 75023-6748
Country : US
Telephone Number : 972-422-5939
Fax Number : 972-422-1280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 10/19/2023

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