Kanugula, Ashok Kumar

Kanugula, Ashok Kumar is an individual health care provider with primary practice located at 747 S 8Th St Ste B , Griffin GA 30224-4884. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kanugula, Ashok Kumar can be contacted via phone (470) 604-8250.

Contact Information

Primary practice address
747 S 8Th St Ste B Griffin GA 30224-4884
Phone: (470) 604-8250
Fax: (770) 999-2814
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.126308 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT200813 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 88543 Georgia

Profile Details

NPI number 1487919908
LBN Legal business name Kanugula, Ashok Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2012
Last updated Sep 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487919908 NPPES
Ohio MEDICAID 133401

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