Provider Demographics
NPI:1508984071
Name:KUMAR, RAJESH N (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:N
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:925 LOUISIANA BLVD SE
Mailing Address - Street 2:UNIT A
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-5001
Mailing Address - Country:US
Mailing Address - Phone:505-514-1441
Mailing Address - Fax:505-246-0235
Practice Address - Street 1:925 LOUISIANA BLVD SE
Practice Address - Street 2:UNIT A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-5001
Practice Address - Country:US
Practice Address - Phone:505-514-1441
Practice Address - Fax:505-246-0235
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM78-203208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics