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Individual

PADMA BHAGAVATULA KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
AUSTIN VA OUT PATIENT MEDICAL CENTER, 7901 METROPOLIS DR, AUSTIN, TX 78744
(315) 450-6049
Mailing address
100 INTREPID LANE, STE 5, SYRACUSE, NY 13205
(315) 498-5430
(315) 299-5138

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Q6222
TX
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
213851-1
NY
2084N0400X
Neurology Physician
Primary
213851
NY
2084N0400X
Neurology Physician
Q6222
TX
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
213851-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01948461
NY
Enumeration date
11/07/2006
Last updated
03/18/2019
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