Provider Demographics
NPI:1164751749
Name:KURA LLC
Entity Type:Organization
Organization Name:KURA LLC
Other - Org Name:RANGARAJ EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:RANGARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:229-439-7774
Mailing Address - Street 1:1909 ABERDEEN RD
Mailing Address - Street 2:STE 108
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1393
Mailing Address - Country:US
Mailing Address - Phone:229-439-7774
Mailing Address - Fax:229-883-8586
Practice Address - Street 1:1909 ABERDEEN RD
Practice Address - Street 2:STE 108
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1393
Practice Address - Country:US
Practice Address - Phone:229-439-7774
Practice Address - Fax:229-883-8586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery