MEDICARE: MS. RITA RANI KUMAR M.D.

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	207R00000X	Internal Medicine Physician	A43690	CA

General Provider Information

NPI Number	:	1558384370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RITA RANI KUMAR M.D.

Provider Business Mailing Address
First Line	:	4340 OVERLAND AVENUE
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230
Country	:	US
Telephone Number	:	310-559-4411
Fax Number	:	310-559-5147

Provider Business Practice Location Address
First Line	:	4340 OVERLAND AVE
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-4117
Country	:	US
Telephone Number	:	310-559-4411
Fax Number	:	310-559-5147

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	03/10/2010

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