Individual
LEELA SAMUDRA KANTAMNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
(256) 551-4611
Mailing address
10724 WILSHIRE BLVD APT 1403, LOS ANGELES, CA 90024-4473
(424) 333-4882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91552
GA
207R00000X
Internal Medicine Physician
U5011
TX
Other
Enumeration date
05/24/2019
Last updated
03/05/2024
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