Provider Demographics
NPI:1891873238
Name:KUMAR, RITU AJIT (MD)
Entity Type:Individual
Prefix:
First Name:RITU
Middle Name:AJIT
Last Name:KUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 FORSYTH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2051
Mailing Address - Country:US
Mailing Address - Phone:478-633-1919
Mailing Address - Fax:478-633-5180
Practice Address - Street 1:1014 FORSYTH ST STE 300
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2051
Practice Address - Country:US
Practice Address - Phone:478-633-1919
Practice Address - Fax:478-633-5180
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057716207RI0200X
NC2023-03237207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00399129OtherRAILROAD MEDICARE
GA259449898AMedicaid
GA259449898AMedicaid
GAP00399129OtherRAILROAD MEDICARE