Individual
DR. MOHANKUMAR KURUKUMBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 N BEAUREGARD ST STE 300, ALEXANDRIA, VA 22311-1715
(703) 845-1500
(703) 845-1300
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101248631
VA
2084N0400X
Neurology Physician
RESIDENT
DC
2084N0600X
Clinical Neurophysiology Physician
0101248631
VA
Other
Enumeration date
06/02/2008
Last updated
01/13/2022
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