Kesavan Gopa Kumar
Geriatric Medicine
3207 Country Club Dr
Valdosta
, Georgia 31605-1029
Kesavan Gopa Kumar
Geriatric Medicine
3207 Country Club Dr
Valdosta
, Georgia 31605-1029
(229) 242-8480
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Kesavan Gopa Kumar
- 3207 Country Club Dr
- Valdosta, GA
- Zip : 31605-1029
- Phone : (229) 242-8480
Second Address
- Kesavan Gopa Kumar
- 3207 Country Club Dr
- Valdosta, GA
- Zip : 31605-1029
- Fax : (229) 241-0252
- Phone : (229) 242-8480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 020562 | GA |
National Provider Identifier
| NPI | 1124016860 |
|---|---|
| Provider Name | Kesavan Gopa Kumar |
| First Address | Valdosta, GA 31605-1029 |
| Second Address | Valdosta, GA 31605-1029 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2005 |
| Last Update Date | 18/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D70519 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.