Peddamatham, Kumara S

Peddamatham, Kumara S is an sole proprietor health care provider with primary practice located at 1601 Main St Ste 401, Richmond TX 77469-3244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Peddamatham, Kumara S can be contacted via phone (281) 342-9530.

Contact Information

Primary practice address
1601 Main St Ste 401 Richmond TX 77469-3244
Phone: (281) 342-9530
Fax: (281) 342-9564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G4378 Texas

Profile Details

NPI number 1659377547
LBN Legal business name Peddamatham, Kumara S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Aug 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659377547 NPPES
Texas MEDICAID 098552503
Texas Other 00G84F
Texas MEDICAID 098552501
Texas Other 8CM672

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