| Kandasami Senthilkumar, Md Pa | |
|
740 Hospital Dr 100 Beaumont TX 77701-4664 | |
| (409) 838-4338 | |
| (409) 838-1488 |
| Full Name | Kandasami Senthilkumar, Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 740 Hospital Dr, Beaumont, Texas |
| Authorized Official Name and Position | Kandasami Senthilkumar (PRESIDENT) |
| Authorized Official Contact | 4098384338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kandasami Senthilkumar, Md Pa Po Box 12685 Beaumont TX 77726-2685 Ph: (409) 838-4338 | Kandasami Senthilkumar, Md Pa 740 Hospital Dr 100 Beaumont TX 77701-4664 Ph: (409) 838-4338 |
| NPI Number | 1700069184 |
|---|---|
| Provider Enumeration Date | 12/09/2007 |
| Last Update Date | 03/09/2012 |
| Medicare PECOS PAC ID | 5991872053 |
|---|---|
| Medicare Enrollment ID | O20080916000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700069184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kandasami Senthilkumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811990369 PECOS PAC ID: 2567447972 Enrollment ID: I20080916000388 |
| Provider Name | Chasity Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518422948 PECOS PAC ID: 9133469513 Enrollment ID: I20190321001375 |
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