Search › Georgia › 207R00000X
Kishore Rasamallu, MD
NPI 1568667863 · on the registry since 2007
Practice
- Address
- 12895 Keystone Ct
Alpharetta, GA 30009 - Phone
- (210) 379-8553
- Fax
- (910) 900-1239
- Organisation at this address
- Omni Virtual Health Care Inc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1968 Peachtree Rd Nw Fl 6, Atlanta, GA
- 1165 Sanders Rd, Cumming, GA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208M00000X
207R00000X
207R00000X
208M00000X - Licence states on file
- PA, GA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia