Most Relevant Information
Provider Data
| NPI Number: | 1003399809 |
| Provider Name: | RAJITHA BOMMAKANTI RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0400X |
| Specialty: | Registered Nurse |
| License Number: | RN208614 |
Most Important Dates
| Enumeration Date: | 09/08/2018 |
| Last Updated: | 11/22/2018 |
Provider Practice Location
13225 CARIS CT
ALPHARETTA
GA
300093249
Practice Location Phone/Fax
| Phone: | 9196561029 |
| Fax: |
Provider Mailing Location
13225 CARIS CT
ALPHARETTA
GA
300093249
Provider Mailing Phone/Fax
| Phone: | 9196561029 |
| Fax: |