Kumar Bhp Llc | |
17720 Corporate Woods Dr San Antonio TX 78259-3500 | |
(718) 506-5458 | |
Not Available |
Full Name | Kumar Bhp Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 17720 Corporate Woods Dr, San Antonio, Texas |
Authorized Official Name and Position | Mahesh Kumar (OWNER) |
Authorized Official Contact | 2108964539 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kumar Bhp Llc Po Box 593499 San Antonio TX 78259-0224 Ph: () - | Kumar Bhp Llc 17720 Corporate Woods Dr San Antonio TX 78259-3500 Ph: (718) 506-5458 |
NPI Number | 1306429816 |
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Provider Enumeration Date | 05/03/2021 |
Last Update Date | 10/11/2021 |
Certification Date | 10/11/2021 |
Medicare PECOS PAC ID | 2163821075 |
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Medicare Enrollment ID | O20210526001610 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306429816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Mahesh Kumar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871835900 PECOS PAC ID: 6002126588 Enrollment ID: I20210526001712 |
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