1447343751 NPI number — DR. RAJEEV KUMAR MD

Table of content: DR. RAJEEV KUMAR MD (NPI 1447343751)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447343751 NPI number — DR. RAJEEV KUMAR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KUMAR
Provider First Name:
RAJEEV
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447343751
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 E. HAMPDEN AVE
Provider Second Line Business Mailing Address:
SUITE 510
Provider Business Mailing Address City Name:
ENGLEWOOD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80113-2736
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-357-5455
Provider Business Mailing Address Fax Number:
303-357-5459

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 E. HAMPDEN AVE
Provider Second Line Business Practice Location Address:
SUITE 510
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80013-2736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-357-5455
Provider Business Practice Location Address Fax Number:
303-357-5459
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  35436 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X , with the licence number: 37158 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084N0400X , with the licence number: M1191 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01371582 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 811321 . This is a "MEDICARE GROUP NUMBER" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 0061MT . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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