Provider Demographics
NPI:1760552673
Name:KUMBHAM, ANURAG REDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANURAG
Middle Name:REDDY
Last Name:KUMBHAM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:500 VONDERBURG DR 102E
Mailing Address - Street 2:CORNERSTONE MEDICAL CARE OF BRANDON
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511
Mailing Address - Country:US
Mailing Address - Phone:813-681-5658
Mailing Address - Fax:813-681-5250
Practice Address - Street 1:500 VONDERBURG DR 102E
Practice Address - Street 2:CORNERSTONE MEDICAL CARE OF BRANDON
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511
Practice Address - Country:US
Practice Address - Phone:813-681-5658
Practice Address - Fax:813-681-5250
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2017-04-12
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Provider Licenses
StateLicense IDTaxonomies
FLME115279207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine