CHUDAMANI RAO POLKAMPALLY

STOCKBRIDGE, GA
NPI1275620452
Other NameCHUDAMANI KASUGANTI RAO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: GA  74563)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OH  57.009009)
207RN0300X Internal Medicine, Nephrology
(Licence: TX  P8066)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA  0101241347)
Enumeration Date2006-10-06
Last Update Date2020-04-30
Business Address
Dr. CHUDAMANI RAO POLKAMPALLY M.D.
225 COUNTRY CLUB DR STE 140
STOCKBRIDGE, GA 30281-7392
Phone number: 770-415-5889
Mailing Address
Dr. CHUDAMANI RAO POLKAMPALLY M.D.
225 COUNTRY CLUB DR STE 140
STOCKBRIDGE, GA 30281-7392
Phone number: 770-415-5889