MEDICARE: RAJESH KUMAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	22468	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134272933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJESH KUMAR MD

Provider Business Mailing Address
First Line	:	608 NW 9TH ST STE 4106
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1006
Country	:	US
Telephone Number	:	405-272-8367
Fax Number	:

Provider Business Practice Location Address
First Line	:	608 NW 9TH ST STE 4106
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1006
Country	:	US
Telephone Number	:	405-272-8367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	05/01/2024

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