Individual
DR. KAMAL KISHORE MANDALAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 HOSPITAL SOUTH DR STE 300, AUSTELL, GA 30106-8116
(770) 944-2830
(678) 581-7170
Mailing address
531 ROSELANE ST NW STE 710, MARIETTA, GA 30060-6975
(678) 331-3297
(678) 581-7187
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
068241
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689817041
NPI NUMBER
GA
Enumeration date
04/15/2009
Last updated
04/17/2019
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