Provider Demographics
NPI:1962659391
Name:KANTAMNENI, ARUN KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:KUMAR
Last Name:KANTAMNENI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4125 ATLANTA RD SE STE 120
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6521
Mailing Address - Country:US
Mailing Address - Phone:708-585-3777
Mailing Address - Fax:770-874-3310
Practice Address - Street 1:4125 ATLANTA RD SE STE 120
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6521
Practice Address - Country:US
Practice Address - Phone:770-858-5377
Practice Address - Fax:770-874-3310
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA701712084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry