Individual
DR. RAJENDER KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7120 CLEARVISTA DR, SUITE 2100, INDIANAPOLIS, IN 46256-1621
(317) 621-2740
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01066534A
IN
208M00000X
Hospitalist Physician
01066534A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200948490
—
IN
01
—
P01512500
MEDICARE RR PTAN
IN
Enumeration date
05/07/2009
Last updated
11/05/2018
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