Individual
ANSUYA S KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4132 WIND DANCE CIR, PLANO, TX 75024-7089
(972) 712-5948
Mailing address
4132 WIND DANCE CIR, PLANO, TX 75024-7089
(972) 712-5948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K2521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-417-859-6
ECFMG
TX
01
—
B0104946
DPS
TX
01
—
K2521
MEDICAL LICENSE
TX
Enumeration date
07/11/2006
Last updated
03/07/2023
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