Basic Information
| Provider Information | |||||||||
| NPI: | 1891873238 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUMAR | ||||||||
| FirstName: | RITU | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1014 FORSYTH ST STE 300 | ||||||||
| Address2: | |||||||||
| City: | MACON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 312012051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4786331919 | ||||||||
| FaxNumber: | 4786335180 | ||||||||
| Practice Location | |||||||||
| Address1: | 1014 FORSYTH ST STE 300 | ||||||||
| Address2: | |||||||||
| City: | MACON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 312012051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4786331919 | ||||||||
| FaxNumber: | 4786335180 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2006 | ||||||||
| LastUpdateDate: | 10/26/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 057716 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.