| Kesavan Gopa Kumar, MD | |
|
3207 Country Club Dr, Valdosta, GA 31605-1029 | |
| (229) 242-8480 | |
| (229) 241-0252 |
| Full Name | Kesavan Gopa Kumar |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3207 Country Club Dr, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124016860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 020562 (Georgia) | Primary |
| Entity Name | Valdosta Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538200035 PECOS PAC ID: 9234197286 Enrollment ID: O20041222000501 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Kesavan Gopa Kumar, MD 3207 Country Club Dr, Valdosta, GA 31605-1029 Ph: (229) 242-8480 | Kesavan Gopa Kumar, MD 3207 Country Club Dr, Valdosta, GA 31605-1029 Ph: (229) 242-8480 |
Dr. Asma Yasin, MBBS Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4178 | |
Dr. Nikolay Gogin, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4131 | |
Dr. Felix G Valdez, MD Geriatric Medicine Medicare: May Accept Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4501 Fax: 229-259-4502 | |
Dr. Moriamo Adedoyin Fashugba, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Zubair Akram, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Dr. Gerald S Light, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 3564b Northcrossing Cir, Valdosta, GA 31602 Phone: 229-247-1414 Fax: 229-247-1978 | |
Dr. William C Tidmore Jr., M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2418 N Oak St, Valdosta, GA 31602 Phone: 229-219-0247 Fax: 229-219-0837 |