Organization
COLUMBIA PATIENT CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIRILATHA KANUMURU MD (CO-OWNER)
(410) 884-4939
Entity
Organization
Contact information
Practice address
11085 LITTLE PATUXENT PKWY, MEDICAL ARTS BLDG - STE L001, COLUMBIA, MD 21044-2983
(410) 884-4939
(410) 884-4991
Mailing address
PO BOX 1121, COLUMBIA, MD 21044-0121
(410) 884-4939
(410) 884-4991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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