Individual
DR. KUMAR GAURAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE, ZION, IL 60099
(800) 322-9183
Mailing address
CANCER TREATMENT CENTERS OF AMERICA, 2361 PAYSPHERE CIRCLE, CHICAGO, IL 60674
(800) 322-9183
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036158029
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
65716
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
TP081
KY
207RP1001X
Pulmonary Disease Physician
036.158029
IL
207RP1001X
Pulmonary Disease Physician
Primary
65716
WI
207RP1001X
Pulmonary Disease Physician
TP081
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467617902
—
WI
Enumeration date
07/24/2008
Last updated
03/31/2025
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