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Rajitha Bommakanti, RN

Registered Nurse in Alpharetta, GA. Individual provider (NPI-1).

NPI number1003399809
StatusActive
Last updated in NPPESNov 22, 2018

Details

NPI
1003399809
Entity type
Individual (NPI-1)
Name
Rajitha Bommakanti
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 8, 2018
Last updated
Nov 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN208614GAYes
163WC0400X Registered Nurse, Case ManagementRN208614GA
163WC1500X Registered Nurse, Community HealthRN208614GA
163WD0400X Registered Nurse, Diabetes EducatorRN208614GA
163WD1100X Registered Nurse, Dialysis, PeritonealRN208614GA
163WH0200X Registered Nurse, Home HealthRN208614GA
163WH0500X Registered Nurse, HemodialysisRN208614GA

Practice location

13225 Caris Ct
Alpharetta, GA 30009-3249

Phone 919-656-1029

Mailing address

13225 Caris Ct
Alpharetta, GA 30009-3249

Phone 919-656-1029

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