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1821038209

NPI Code Detail

MEDICARE: RAHUL KUMAR KAKKAR MD

MEDICARE: RAHUL KUMAR KAKKAR MD

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	2013-01905	NC
2	207RP1001X	Pulmonary Disease Physician	2013-01905	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	FH2970520	OTHER	NC	FIRST MEDICARE DIRECT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	FH2970520	OTHER	NC	FIRST CAROLINA CARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	18119	OTHER	NC	BCBS NC
6	7333509	OTHER	NC	AETNA

General Provider Information

NPI Number	:	1821038209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAHUL KUMAR KAKKAR MD

Provider Business Mailing Address
First Line	:	2911 BREEZEWOOD AVE STE 100
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5464
Country	:	US
Telephone Number	:	910-824-7619
Fax Number	:	910-824-0773

Provider Business Practice Location Address
First Line	:	200 FORSYTHE ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5426
Country	:	US
Telephone Number	:	910-824-7619
Fax Number	:	910-824-0773

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	05/06/2026

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Directions to “ RAHUL KUMAR KAKKAR MD” Practice Location

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