Provider Demographics
NPI:1053551507
Name:KUMAR, KASTURI ASWANI (MD)
Entity type:Individual
Prefix:DR
First Name:KASTURI
Middle Name:ASWANI
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5080 CEDAR CREEK DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-2402
Mailing Address - Country:US
Mailing Address - Phone:713-622-6835
Mailing Address - Fax:
Practice Address - Street 1:8240 ANTOINE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2534
Practice Address - Country:US
Practice Address - Phone:713-622-6835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2762204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM