Kumar, Prem

Kumar, Prem is an individual health care provider with primary practice located at 3300 Greystone Way , Valdosta GA 31605-1096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kumar, Prem can be contacted via phone (229) 247-7700.

Contact Information

Primary practice address
3300 Greystone Way Valdosta GA 31605-1096
Phone: (229) 247-7700
Fax: (229) 247-2666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 466691 Georgia

Profile Details

NPI number 1124003587
LBN Legal business name Kumar, Prem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Mar 20th, 2010 - about 15 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 1124003587 NPPES
Georgia MEDICAID 00814107I
Georgia MEDICAID 00814107J

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