Individual
DR. KUMUD S TRIPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 E VILLA MARIA RD, #110, BRYAN, TX 77802-2548
(979) 776-2000
(979) 776-0427
Mailing address
2215 E VILLA MARIA RD, #110, BRYAN, TX 77802-2548
(979) 776-2000
(979) 776-0427
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
F9046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005101
—
TX
01
—
110135938
MEDICARE RAILROAD
TX
01
—
125738100
FIRST CARE
TX
Enumeration date
05/16/2006
Last updated
09/20/2007
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