Ksa Enterprises, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KSA ENTERPRISES, LLC

Practice address

2171 Fair Hill Dr
Allen, TX 75013-5658

Phone

(469) 231-5085

NPI assigned

Jan 24, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Purnima Kumar

Title

Office Administrator

Phone

(469) 231-5085

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1528566544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 FAIR HILL DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135658",
            "telephone_number": "469-231-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 FAIR HILL DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135658",
            "telephone_number": "469-231-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSA ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PURNIMA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "469-231-5085"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroger Texas L P
• Kroger Texas L P
• Danrich Kruger
• Jessica Anne Kruse, O.D.
• KS Allen TX PC
• Tang Yong Kuang, MD
• Peyton Sierra Kuester
• Binita Vaghela Kumar, LPC
• Rajeshwar Kumar, MD
• Allison Sharon Kuo, PA

• Internal Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.