Kumuda R Pradhan MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

N5950 Issued in TX

Legal business name

KUMUDA R PRADHAN MD PA

Practice address

1700 N Oregon St
620
El Paso, TX 79902-3584

Phone

(915) 779-1716

NPI assigned

Dec 29, 2010

Organization subpart

No

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

Authorized official

Name

Kumuda Pradhan, MDNPI 1427053669

Title

President

Phone

(915) 779-1716

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kumuda R Pradhan, MD

  • Surgery Physician
  • La Crosse, WI
  • NPI 1427053669

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1902100217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-774-5557",
            "fax_number": "915-771-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N OREGON ST",
            "address_2": "620",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023584",
            "telephone_number": "915-779-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMUDA R PRADHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "KUMUDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-779-1716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "N5950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rae Kuiper, PA C
• Illya Kulinych
• Satheesh Balakrishnan Kumar, M.D.
• Siddhant Kumar, MD
• Vibhash Kumar, MD
• Vamsi Krishna Kunam, MD
• Andrea Kuney
• Anne Lara Kuntz, CPM, LM
• Joshua Kunz, CRNA
• Sanja Kupesic-Plavsic, M.D.

• Surgery Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.