Individual
DR. BINU JAMES KUNJUMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
(770) 638-1411
Mailing address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
(770) 638-1411
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
065135
GA
207RI0011X
Interventional Cardiology Physician
Primary
065135
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100222G
—
GA
Enumeration date
12/04/2007
Last updated
10/07/2015
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