Provider Demographics
NPI:1487096707
Name:KUMAR, RAHUL (DDS)
Entity type:Individual
Prefix:
First Name:RAHUL
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 24TH ST NW
Mailing Address - Street 2:608
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2203
Mailing Address - Country:US
Mailing Address - Phone:202-404-1462
Mailing Address - Fax:
Practice Address - Street 1:922 24TH ST NW
Practice Address - Street 2:608
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2203
Practice Address - Country:US
Practice Address - Phone:202-404-1462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program