MEDICARE: DR. VIBHASH 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	208000000X	Pediatrics Physician	125056256	IL
2	2080P0202X	Pediatric Cardiology Physician	Q1847	TX

General Provider Information

NPI Number	:	1770816951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIBHASH KUMAR MD

Provider Business Mailing Address
First Line	:	2680 GEORGE DIETER DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-3202
Country	:	US
Telephone Number	:	915-315-2584
Fax Number	:	915-315-2585

Provider Business Practice Location Address
First Line	:	2680 GEORGE DIETER DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-3202
Country	:	US
Telephone Number	:	915-315-2584
Fax Number	:	915-315-2585

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

Provider Enumeration Date	:	09/06/2009
Last Update Date	:	04/13/2026

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