Organization Active NPI

Sukumar MHT PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Killeen, TX
National Provider Identifier
1689939183
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
J3626 Issued in TX
Legal business name
SUKUMAR MHT PLLC
Practice address
2301 S Clear Creek Rd
Suite 112
Killeen, TX 76549-4143
Phone
(254) 519-3131
Fax
(254) 519-3133
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Latha Sukumar, M.D.
Title
Owner
Phone
(254) 519-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X J3626 TX Primary

Addresses

Primary practice location

2301 S Clear Creek Rd
Suite 112
Killeen, TX 76549-4143

Mailing address

2301 S Clear Creek Rd
Suite 112
Killeen, TX 76549-4143
Phone (254) 519-3131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1689939183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S CLEAR CREEK RD",
            "address_2": "SUITE 112",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494143",
            "telephone_number": "254-519-3131",
            "fax_number": "254-519-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S CLEAR CREEK RD",
            "address_2": "SUITE 112",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494143",
            "telephone_number": "254-519-3131",
            "fax_number": "254-519-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKUMAR MHT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "SUKUMAR",
        "authorized_official_first_name": "LATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-519-3131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "J3626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.