Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35.127172 | OH |
N | 111NI0900X | Internist | 35.127172 | OH |
N | 207R00000X | Internist | 57.022412 | OH |
N | 111NI0900X | Internist | 57.022412 | OH |
Y | 207RC0200X | Critical Care Medicine | 88149 | GA |
NPI | 1073954285 |
---|---|
Provider Name | Dr. Rahul Kumar |
First Address | Marietta, GA 30060-9412 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2013 |
Last Update Date | 27/10/2021 |