MEDICARE: RETHIKA KUMAR

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	261QS1000X	Student Health Clinic/Center

General Provider Information

NPI Number	:	1760183610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RETHIKA KUMAR

Provider Business Mailing Address
First Line	:	1664 N VIRGINIA ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-0705
Country	:	US
Telephone Number	:	775-784-6063
Fax Number	:

Provider Business Practice Location Address
First Line	:	1651 N VIRGINIA ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-2027
Country	:	US
Telephone Number	:	702-465-8972
Fax Number	:

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

Provider Enumeration Date	:	03/16/2023
Last Update Date	:	03/16/2023

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Directions to “ RETHIKA KUMAR ” Practice Location

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