Individual
DR. KUMUD SHARMA RANGARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1505 NORTHSIDE BLVD STE 4600, CUMMING, GA 30041-7658
(770) 205-5292
(770) 205-5291
Mailing address
1505 NORTHSIDE BLVD STE 4600, CUMMING, GA 30041-7658
(770) 205-5292
(770) 205-5291
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
059007
GA
207RH0003X
Hematology & Oncology Physician
KS082798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B56404008
BCR
MI
05
—
4790701
—
MI
Enumeration date
01/27/2006
Last updated
11/09/2021
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