Provider Demographics
NPI:1598967341
Name:KUMBLA & ASSOCIATES LLC
Entity Type:Organization
Organization Name:KUMBLA & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:LAKSHMIKANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMBLA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:205-979-9139
Mailing Address - Street 1:PO BOX 661196
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35266-1196
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:408 VESCLUB PL
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-1300
Practice Address - Country:US
Practice Address - Phone:205-979-9139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty