Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M8100 | TX |
N | 111NI0900X | Internist | M8100 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | 35-097693 | OH |
Y | 207RI0011X | Interventional Cardiology | M8100 | TX |
NPI | 1093030934 |
---|---|
Provider Name | Dr. Ramon Kumar |
First Address | Dallas, TX 75284-6098 |
Second Address | Tyler, TX 75701-2015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2010 |
Last Update Date | 31/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
752616977007 | TRICARE (01) | TX |
75-2616977-028 | TRICARE (01) | TX |
8BC409 | BCBS (01) | TX |
P01079889 | (02) | TX |