Individual
DR. VAMSI KRISHNA KANTAMANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01085808A
IN
207RG0100X
Gastroenterology Physician
Primary
103762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300051119
—
IN
01
—
M12240448
MEDICARE PTAN
IN
01
—
P02652164
RAILROAD PTAN
IN
Enumeration date
07/08/2014
Last updated
04/20/2025
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