Individual
DR. SATHEESH BALAKRISHNAN KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 E SCHUSTER AVE STE 3B, EL PASO, TX 79902-4646
(915) 533-5911
Mailing address
1201 E SCHUSTER AVE STE 3B, EL PASO, TX 79902-4646
(915) 533-5911
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G1066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132033501
—
TX
01
—
74-2205260
TAX IDENTIFICATION NUMBER
—
01
—
RH04
BLUE CROSS BLUE SHIELD
TX
01
—
U3992
NEW MEXICO MEDICAID
NM
Enumeration date
11/29/2006
Last updated
10/17/2011
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