Chanda-Kim, Mousumi
Chanda-Kim, Mousumi is an sole proprietor health care provider with primary practice located at 5103 Kyle Center Dr Ste 104 , Kyle TX 78640-6164. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Chanda-Kim, Mousumi can be contacted via phone (512) 504-0855.Contact Information
Primary practice address
5103 Kyle Center Dr Ste 104
Kyle TX 78640-6164
Phone: (512) 504-0855
Fax: (512) 504-0856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K7691 | Texas |
Profile Details
| NPI number | 1982772901 |
|---|---|
| LBN Legal business name | Chanda-Kim, Mousumi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Feb 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982772901 | NPPES |
| Texas | Other | 8CN818 | BCBS |
| Texas | MEDICAID | 096822405 | BCBS |
| Texas | MEDICAID | 096822404 | BCBS |
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