Healthcare Provider Details

I. General information

NPI: 1972503811
Provider Name (Legal Business Name): DOCTORS PATHOLOGY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1253 COLLEGE PARK DR
DOVER DE
19904-8713
US

IV. Provider business mailing address

1253 COLLEGE PARK DR
DOVER DE
19904-8713
US

V. Phone/Fax

Practice location:
  • Phone: 302-677-0000
  • Fax:
Mailing address:
  • Phone: 302-677-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number08D1010629
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number StateDE

VIII. Authorized Official

Name: RAHUL SUKUMAR
Title or Position: CEO
Credential:
Phone: 302-677-0000