Provider Demographics
NPI:1225050057
Name:KUMAR, ARUN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5255 SNAPFINGER PARK DR
Mailing Address - Street 2:110
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-4084
Mailing Address - Country:US
Mailing Address - Phone:770-981-2211
Mailing Address - Fax:770-981-0208
Practice Address - Street 1:5255 SNAPFINGER PARK DR
Practice Address - Street 2:110
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4084
Practice Address - Country:US
Practice Address - Phone:770-981-2211
Practice Address - Fax:770-981-0208
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA056124207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI12181Medicare UPIN
GAGRP2709Medicare PIN
GA39BDCLNMedicare ID - Type Unspecified