MEDICARE: DHARMENDRA 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	2084P0800X	Psychiatry Physician	P3184	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841448511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DHARMENDRA KUMAR MD

Provider Business Mailing Address
First Line	:	PO BOX 925003
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77292-5003
Country	:	US
Telephone Number	:	832-930-1202
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 NORTH LOOP W STE 280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1368
Country	:	US
Telephone Number	:	832-930-1202
Fax Number	:	832-304-6385

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

Provider Enumeration Date	:	09/05/2008
Last Update Date	:	07/01/2020

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