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Individual

DILEEP KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(404) 367-3014
Mailing address
SANFORD HEALTH 801 BROADWAY N, FARGO, ND 58122-0170
(701) 234-5933
(701) 234-7230

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
93505
GA
208M00000X
Hospitalist Physician
14909
ND
390200000X
Student in an Organized Health Care Education/Training Program
RL13634
ND

Other

Enumeration date
08/07/2015
Last updated
12/23/2022
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