Organization
RAKESH KUMAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAKESH KUMAR M.D. (PRESIDENT/OWNER)
(707) 485-2621
Entity
Organization
Contact information
Practice address
123 SPARTA HWY, EATONTON, GA 31024-6093
(707) 485-2621
Mailing address
PO BOX 4150, EATONTON, GA 31024-4150
(706) 485-2621
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
022807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00229226A
—
GA
01
—
020000895
MEDICARE RAILROAD
GA
Enumeration date
11/07/2007
Last updated
02/28/2008
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