Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | P6205 | TX |
Y | 111NI0900X | Internist | P6205 | TX |
NPI | 1992968481 |
---|---|
Provider Name | Dr. Amita Kumar |
First Address | San Antonio, TX 78230-5119 |
Second Address | San Antonio, TX 78258-3482 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2008 |
Last Update Date | 22/09/2015 |