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Individual

DR. NARENDRA K KANURU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
041444
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
041444
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000764464K
GA
05
000764464L
GA
05
000764464M
GA
05
000764464N
GA
05
000764464O
GA
Enumeration date
03/09/2006
Last updated
11/22/2019
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