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Individual

DR. PADMA REKHA KOUKUNTLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1300 ALTMORE AVE STE 175, SANDY SPRINGS, GA 30342-2598
(404) 905-5680
(770) 764-0077
Mailing address
1300 ALTMORE AVE STE 175, SANDY SPRINGS, GA 30342-2598
(404) 905-5680
(770) 764-0077

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276458
NY
207R00000X
Internal Medicine Physician
42633
AL
207R00000X
Internal Medicine Physician
Primary
77417
GA
207R00000X
Internal Medicine Physician
ME 128519
FL
208M00000X
Hospitalist Physician
276458
NY

Other

Enumeration date
07/18/2011
Last updated
04/08/2026
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