Organization Name: | RAKESH KUMAR MD PC |
NPI Number: | 1477733491 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAKESH KUMAR (PRESIDENT/OWNER) |
Mailing Address: | 123 Sparta Hwy Eatonton |
State: | GA US |
Postal Code: | 310246093 |
Phone Number: | 7074852621 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 02/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 022807 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |