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Individual

DR. SANTHOSH KUMAR BANGALORE VASANTHA KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1605 CHANTILLY DR NE, ATLANTA, GA 30324-3267
(804) 517-2232
(404) 778-4431
Mailing address
1605 CHANTILLY DR NE, ATLANTA, GA 30324-3267
(804) 517-2232
(404) 778-4431

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207K00000X
Allergy & Immunology Physician
Primary
103011
GA
2080P0201X
Pediatric Allergy/Immunology Physician
0101247688
VA

Other

Enumeration date
05/11/2008
Last updated
08/06/2025
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