Provider Demographics
NPI:1376573147
Name:KAUFMANN, ROBERT S (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:KAUFMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2247
Mailing Address - Country:US
Mailing Address - Phone:404-881-9727
Mailing Address - Fax:404-523-9184
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:SUITE 1700
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2247
Practice Address - Country:US
Practice Address - Phone:404-881-9727
Practice Address - Fax:404-523-9184
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2022-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA30115207R00000X
GA030115207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA110037271OtherRR MEDICARE
GA110037271OtherRR MEDICARE
GA11BDBHQMedicare PIN
GAE19950Medicare UPIN