Provider Demographics
NPI:1659513513
Name:KARUMURI, REKHA N
Entity Type:Individual
Prefix:
First Name:REKHA
Middle Name:N
Last Name:KARUMURI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CALUMET PKWY
Mailing Address - Street 2:BLDG H STE 100
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-6734
Mailing Address - Country:US
Mailing Address - Phone:770-304-3724
Mailing Address - Fax:770-304-3726
Practice Address - Street 1:37 CALUMET PKWY
Practice Address - Street 2:BLDG H STE 100
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-6734
Practice Address - Country:US
Practice Address - Phone:770-304-3724
Practice Address - Fax:770-304-3726
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA069058207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology