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NPI Code Detail

MEDICARE: REKHA ANJALI KUMBLA MD

MEDICARE: REKHA ANJALI KUMBLA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician77845GA

General Provider Information

NPI Number : 1396034187
Entity Type Code : Individual
Provider Name (Legal Business Name) : REKHA ANJALI KUMBLA MD
Provider Business Mailing Address
First Line : 750 TOWNPARK LN NW
Second Line :
City : KENNESAW
State : GA
Zip : 30144-5824
Country : US
Telephone Number : 404-365-0966
Fax Number :
Provider Business Practice Location Address
First Line : 750 TOWNPARK LN NW
Second Line :
City : KENNESAW
State : GA
Zip : 30144-5824
Country : US
Telephone Number : 404-365-0966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2011
Last Update Date : 06/30/2023

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Directions to “ REKHA ANJALI KUMBLA MD” Practice Location

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