Individual
MUKESH KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1831 5TH AVE, COLUMBUS, GA 31904-8915
(706) 320-8780
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 320-8780
(706) 320-8721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50678
MN
207RH0003X
Hematology & Oncology Physician
Primary
066710
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112320G
—
GA
Enumeration date
05/15/2008
Last updated
12/02/2022
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