Individual
DR. GAURAV KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-1026
(573) 884-8826
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
200501975
NC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2007014758
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204038905
—
MO
Enumeration date
09/21/2006
Last updated
04/04/2012
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