Individual
PANKAJ KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 NC HIGHWAY 66 S, KERNERSVILLE, NC 27284-3132
(336) 883-0029
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
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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