Individual provider · NPI-1
Rajan Kumar, MD
Hospitalist · Farmington, MO
NPI number1760839088
StatusActive
Last updated in NPPESOct 5, 2023
Details
- NPI
- 1760839088
- Entity type
- Individual (NPI-1)
- Name
- Rajan Kumar
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2016
- Certification date
- Oct 5, 2023
- Last updated
- Oct 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 2020020235 | MO | Yes |
| 207R00000X | Internal Medicine | 2020020235 | MO |
Practice location
1101 W Liberty StFarmington, MO 63640-1921
Phone 573-705-1272
Mailing address
1101 W Liberty StFarmington, MO 63640-1921
Phone 573-705-1272
Other practice locations
1100 N Kentucky Ave
West Plains, MO 65775-2029
West Plains, MO 65775-2029
Phone 417-257-5800 · Fax 417-257-5999
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