Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | M1192 | TX |
NPI | 1033216643 |
---|---|
Provider Name | Padma Kumashi |
First Address | Houston, TX 77090-3054 |
Second Address | Houston, TX 77090-3054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2006 |
Last Update Date | 23/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H23448 | (02) |