Individual
MUKESH KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 13TH AVE, ALBANY, GA 31701-1328
(229) 432-9599
(229) 432-9597
Mailing address
PO BOX 4062, ALBANY, GA 31706-4062
(229) 432-9599
(229) 432-9597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055852
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389908
BCBS
GA
Enumeration date
04/21/2006
Last updated
07/09/2007
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