RAHUL KUMAR KAKKAR (NPI# 1821038209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821038209 |
| Entity Type | Individual |
| Full Name | RAHUL KUMAR KAKKAR |
| Other Name | RAHUL KUMAR KAKKAR |
| Credential | MD |
| Practice Address |
200 Forsythe St Fayetteville NC 28303-5426 |
| Mailing Address |
2911 Breezewood Ave Ste 100 Fayetteville NC 28303-5464 |
| Practice Telephone | 9108247619 |
| Practice Fax Number | 9108240773 |
| Mailing Telephone | 9108247619 |
| Mailing Fax Number | 9108240773 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
2013-01905 | NC | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME79882 | FL | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
ME79882 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | FIRST MEDICARE DIRECT | FH2970520 | 01 |
| SC | SC MEDICAID | Q01905 | 01 |
| NC | BCBS NC | 18119 | 01 |
| NC | AETNA | 7333509 | 01 |
| NC | FIRST CAROLINA CARE | FH2970520 | 01 |
| FL | 260310100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Ne Maynard Rd, Cary, NC 275139615 | 9108247619 | 9108240773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255545604 | Rahul Kakkar | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2007-05-09 |
| Street Address |
200 FORSYTHE ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748562 | Gerianne C Geszler | Obstetrics & Gynecology | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2005-05-23 |
| 1962954487 | Total Approach Wellness & Aesthetics | Clinic/Center | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2016-11-01 |
| 1821467044 | Prana Health Pllc | Psychiatry & Neurology | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2015-09-17 |
| 1902212541 | Breezewood Healthcare P A | Non-Pharmacy Dispensing Site | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2014-07-03 |
| 1023337276 | Breezewood Healthcare, P.a. | General Practice | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2010-05-27 |
| 1215175559 | The Center for Health and Restoration, Inc. | General Practice | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2009-01-23 |
| 1356404453 | Breezewood Family Healthcare, Pa | Family Medicine | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2006-12-19 |
| 1952481830 | Cynthia C Phillips | Physician Assistant | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952643157 | Rahim Wooley | Internal Medicine | 1265 Highway 54 W Ste 500a, Fayetteville, GA 30214-4556 | 2013-03-26 |
| 1215463450 | Cumberland County Hospital System Inc | Internal Medicine | 1201 Walter Reed Rd, Fayetteville, NC 28304-4437 | 2017-05-09 |
| 1558701847 | Ashlie Arthur | Internal Medicine | 1265 Highway 54 W Ste 500a, Fayetteville, GA 30214 | 2013-07-01 |
| 1245243690 | Douglas Wayne Whetsell | Internal Medicine | 413 Owen Dr, Suite 202, Fayetteville, NC 28304-3489 | 2006-08-15 |
| 1699703496 | Jon A Sexton | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2006-06-29 |
| 1548298466 | Michael Alan Eckles | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703 | 2006-06-29 |
| 1427094390 | Kyle G Hardy | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2006-06-21 |
| 1477599389 | Gary L Templeton | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2006-06-20 |
| 1003851072 | Kim R Agee | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2006-06-16 |
| 1437126224 | Gautam Dev | Internal Medicine | 1205 Cape Ct, Suite A, Fayetteville, NC 28304-4404 | 2006-03-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on RAHUL KUMAR KAKKAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.