Healthcare Provider Details

I. General information

NPI: 1497490825
Provider Name (Legal Business Name): ARATHI PRABHA KUMAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2022
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 E BARNETT RD
MEDFORD OR
97504-8342
US

IV. Provider business mailing address

2825 E BARNETT RD
MEDFORD OR
97504-8332
US

V. Phone/Fax

Practice location:
  • Phone: 541-789-8000
  • Fax: 541-789-8225
Mailing address:
  • Phone: 541-789-4207
  • Fax: 541-789-4806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD228696
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: