MEDICARE: RAKESH KUMAR 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	207T00000X	Neurological Surgery Physician	ME78263	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	271791	OTHER	FL	AVMED
2	49778	OTHER	FL	BLUE CROSS BLUE SHIELD
3	H7941585001	OTHER	FL	CIGNA

General Provider Information

NPI Number	:	1962496133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAKESH KUMAR MD

Provider Business Mailing Address
First Line	:	5106 N ARMENIA AVE
Second Line	:	SUITE #3
City	:	TAMPA
State	:	FL
Zip	:	33603-1433
Country	:	US
Telephone Number	:	813-877-7463
Fax Number	:	813-350-0626

Provider Business Practice Location Address
First Line	:	5106 N ARMENIA AVE
Second Line	:	SUITE #3
City	:	TAMPA
State	:	FL
Zip	:	33603-1433
Country	:	US
Telephone Number	:	813-877-7463
Fax Number	:	813-350-0626

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	07/08/2007

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Directions to “ RAKESH KUMAR MD” Practice Location

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