Mrs. Latha Sukumar
Geriatric Medicine
2301 S Clear Creek Rd Ste 112
Killeen
, Texas 76549-4198
Mrs. Latha Sukumar
Geriatric Medicine
2301 S Clear Creek Rd Ste 112
Killeen
, Texas 76549-4198
(254) 519-3133
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Mrs. Latha Sukumar
- 2301 S. Clear Creek Rd Suite 112
- Killeen, TX
- Zip : 76549-4198
- Fax : (254) 519-3133
- Phone : (254) 519-3131
Second Address
- Mrs. Latha Sukumar
- 2301 S Clear Creek Rd Ste 112
- Killeen, TX
- Zip : 76549-4198
- Fax : (254) 519-3133
- Phone : (254) 519-3131
Reviews
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Is Mrs. Latha Sukumar a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | J3626 | TX |
National Provider Identifier
| NPI | 1114908662 |
|---|---|
| Provider Name | Mrs. Latha Sukumar |
| First Address | Killeen, TX 76549-4198 |
| Second Address | Killeen, TX 76549-4198 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2005 |
| Last Update Date | 08/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036293102 | (05) | TX |
| E69936 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.