Kubek, Robert J

Kubek, Robert J is an individual health care provider with primary practice located at 1700 Medical Way , Snellville GA 30078-2195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kubek, Robert J can be contacted via phone (770) 979-0200.

Contact Information

Primary practice address
1700 Medical Way Snellville GA 30078-2195
Phone: (770) 979-0200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 037621 Georgia

Profile Details

NPI number 1306822192
LBN Legal business name Kubek, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Mar 13th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306822192 NPPES
Georgia MEDICAID 000560578G

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