# COLUMBIA PATIENT CARE ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568730414
- **Authorized official:** DR. SIRILATHA KANUMURU MD (CO-OWNER)
- **Authorized official phone:** (410) 884-4939

## Contact information

- **Practice address:** 11085 LITTLE PATUXENT PKWY, MEDICAL ARTS BLDG - STE L001, COLUMBIA, MD 21044-2983
- **Practice address phone:** (410) 884-4939
- **Practice address fax:** (410) 884-4991
- **Mailing address:** PO BOX 1121, COLUMBIA, MD 21044-0121
- **Mailing address phone:** (410) 884-4939
- **Mailing address fax:** (410) 884-4991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 12/07/2011