Organization
VITAL NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORE RASAMALLU (MD/OWNER)
(210) 379-8553
Entity
Organization
Contact information
Practice address
1165 SANDERS RD, CUMMING, GA 30041-5965
(802) 735-0001
Mailing address
410 PEACHTREE PKWY STE 4245, CUMMING, GA 30041-7407
(802) 735-0001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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