Basic Information
| Provider Information | |||||||||
| NPI: | 1659513513 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KARUMURI | ||||||||
| FirstName: | REKHA | ||||||||
| MiddleName: | N | ||||||||
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| Mailing Information | |||||||||
| Address1: | 37 CALUMET PKWY | ||||||||
| Address2: | BLDG H STE 100 | ||||||||
| City: | NEWNAN | ||||||||
| State: | GA | ||||||||
| PostalCode: | 302636734 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7703043724 | ||||||||
| FaxNumber: | 7703043726 | ||||||||
| Practice Location | |||||||||
| Address1: | 37 CALUMET PKWY | ||||||||
| Address2: | BLDG H STE 100 | ||||||||
| City: | NEWNAN | ||||||||
| State: | GA | ||||||||
| PostalCode: | 302636734 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7703043724 | ||||||||
| FaxNumber: | 7703043726 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2009 | ||||||||
| LastUpdateDate: | 01/22/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 069058 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.