Provider Demographics
NPI:1508639220
Name:KOKILAKUMAR, RAKSHNI
Entity Type:Individual
Prefix:
First Name:RAKSHNI
Middle Name:
Last Name:KOKILAKUMAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10730 S KIMBALL BRIDGE XING
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7090
Mailing Address - Country:US
Mailing Address - Phone:404-567-3839
Mailing Address - Fax:
Practice Address - Street 1:5730 GLENRIDGE DR STE T100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5747
Practice Address - Country:US
Practice Address - Phone:404-939-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2024-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant