Individual
RAHUL KUMAR KAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 FORSYTHE ST, FAYETTEVILLE, NC 28303-5426
(910) 824-7619
(910) 824-0773
Mailing address
2911 BREEZEWOOD AVE STE 100, FAYETTEVILLE, NC 28303-5464
(910) 824-7619
(910) 824-0773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013-01905
NC
207RP1001X
Pulmonary Disease Physician
Primary
2013-01905
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18119
BCBS NC
NC
05
—
260310100
—
FL
01
—
7333509
AETNA
NC
01
—
FH2970520
FIRST CAROLINA CARE
NC
01
—
Q01905
SC MEDICAID
SC
Enumeration date
06/07/2006
Last updated
05/06/2026
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