MEDICARE: ROBERT S KAUFMANN 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	30115	GA
2	207R00000X	Internal Medicine Physician	030115	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110037271	OTHER	GA	RR MEDICARE

General Provider Information

NPI Number	:	1376573147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT S KAUFMANN M.D.

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE
Second Line	:	SUITE 1700
City	:	ATLANTA
State	:	GA
Zip	:	30308-2247
Country	:	US
Telephone Number	:	404-881-9727
Fax Number	:	404-523-9184

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE
Second Line	:	SUITE 1700
City	:	ATLANTA
State	:	GA
Zip	:	30308-2247
Country	:	US
Telephone Number	:	404-881-9727
Fax Number	:	404-523-9184

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/29/2022

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