MEDICARE: DR. RAJEEV KUMAR M.D.P.A.

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	2084N0400X	Neurology Physician	M1191	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1447343751	OTHER	TX	N.P.I.
2	0061MT	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1861565566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. RAJEEV KUMAR M.D.P.A.

Provider Business Mailing Address
First Line	:	2424 W HOLCOMBE BLVD
Second Line	:	SUITE 204
City	:	HOUSTON
State	:	TX
Zip	:	77030-1934
Country	:	US
Telephone Number	:	713-838-0868
Fax Number	:	713-838-0898

Provider Business Practice Location Address
First Line	:	2424 W HOLCOMBE BLVD
Second Line	:	SUITE 204
City	:	HOUSTON
State	:	TX
Zip	:	77030-1934
Country	:	US
Telephone Number	:	713-838-0868
Fax Number	:	713-838-0898

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. RAJEEV KUMAR
Credential	:	M.D.
Telephone Number	:	713-838-0868

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	07/17/2008

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