Organization
B VIJAYA KUMAR MD PA
Active
Other names
Bangaruswamy Vijaya Kumar
Organization subpart
No
Provider details
NPI number
Authorized official
BANGARUSWAMY KUMAR (OFFICE MANAGER)
(361) 935-8470
Entity
Organization
Contact information
Practice address
601 E SAN ANTONIO ST, SUITE 403W, VICTORIA, TX 77901-6040
(361) 580-1500
(361) 580-1507
Mailing address
2206 VALLEY BLOSSUM LN, LEAGUE CITY, TX 77573-3977
(361) 935-8470
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067EW
BCBS
TX
05
—
097036001
—
TX
01
—
5252513
AETNA
TX
Enumeration date
10/15/2007
Last updated
04/18/2025
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