Provider Demographics
NPI:1235288309
Name:KUMAR, RAKESH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAKESH
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 UNION AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-2134
Mailing Address - Country:US
Mailing Address - Phone:724-224-8850
Mailing Address - Fax:206-339-2691
Practice Address - Street 1:1629 UNION AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-2134
Practice Address - Country:US
Practice Address - Phone:724-224-8850
Practice Address - Fax:206-339-2691
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2015-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039893L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001023046 0003Medicaid
PA334198OtherHIGHMARK NUMBER
PA7557245Medicaid
PA001023046 0003Medicaid
PA034251Medicare PIN