Individual
PANKAJ KUMAR
Active
Individual
PANKAJ KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014-01466
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285920512
TRICARE
NC
05
—
1285920512
—
NC
01
—
1869U
BCBS
NC
01
—
4690634
AETNA
NC
01
—
5115609
UNITED HEALTHCARE
NC
01
—
P01372151
RR MEDICARE
NC
Enumeration date
06/24/2011
Last updated
02/03/2025
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