Healthcare Provider Details

I. General information

NPI: 1801782800
Provider Name (Legal Business Name): REEMA KUMARI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date: 04/17/2026
Reactivation Date: 08/19/2026

III. Provider practice location address

1120 15TH STREET
AUGUSTA GA
30912
US

IV. Provider business mailing address

1120 15TH STREET
AUGUSTA GA
30912
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-1244
  • Fax:
Mailing address:
  • Phone: 706-721-1244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number113932
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: