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NPI Code Detail

MEDICARE: DR. REETI KUMAR M.D.

MEDICARE: DR. REETI KUMAR 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
12080P0210XPediatric Nephrology Physician2019-01360NC

General Provider Information

NPI Number : 1992140867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REETI KUMAR M.D.
Provider Business Mailing Address
First Line : PO BOX 110566
Second Line :
City : DURHAM
State : NC
Zip : 27709-5566
Country : US
Telephone Number : 919-620-4555
Fax Number : 919-620-4921
Provider Business Practice Location Address
First Line : 4709 CREEKSTONE DR
Second Line :
City : DURHAM
State : NC
Zip : 27703-9822
Country : US
Telephone Number : 919-620-4555
Fax Number : 919-620-4921
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2013
Last Update Date : 09/25/2025

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