Individual
ASHOK KUMAR KANUGULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
747 S 8TH ST STE B, GRIFFIN, GA 30224-4884
(470) 604-8250
(770) 999-2814
Mailing address
747 S 8TH ST STE B, GRIFFIN, GA 30224-4884
(470) 604-8250
(770) 999-2814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.126308
OH
207R00000X
Internal Medicine Physician
Primary
88543
GA
390200000X
Student in an Organized Health Care Education/Training Program
MT200813
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133401
—
OH
Enumeration date
07/10/2012
Last updated
09/09/2021
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