| Rakesh Kumar Md Pc | |
|
123 Sparta Hwy Eatonton GA 31024-6093 | |
| (707) 485-2621 | |
| Not Available |
| Full Name | Rakesh Kumar Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 123 Sparta Hwy, Eatonton, Georgia |
| Authorized Official Name and Position | Rakesh Kumar (PRESIDENT/OWNER) |
| Authorized Official Contact | 7074852621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rakesh Kumar Md Pc Po Box 4150 Eatonton GA 31024-4150 Ph: (706) 485-2621 | Rakesh Kumar Md Pc 123 Sparta Hwy Eatonton GA 31024-6093 Ph: (707) 485-2621 |
| NPI Number | 1477733491 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 02/28/2008 |
| Medicare PECOS PAC ID | 0244404911 |
|---|---|
| Medicare Enrollment ID | O20111114000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477733491 | NPI | - | NPPES |
| 020000895 | Other | GA | MEDICARE RAILROAD |
| 00229226A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 022807 (Georgia) | Primary |
| Provider Name | Rakesh Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205828696 PECOS PAC ID: 4284808676 Enrollment ID: I20111121000864 |
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