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Search › Georgia › 207RE0101X

Khemaporn Lertdetkajorn, MD

NPI 1871089367 · on the registry since 2018 · sole proprietor

Practice

Address
33 Upper Riverdale Rd Sw Ste 111
Riverdale, GA 30274
Phone
(770) 909-2045
Fax
(770) 909-2056
Organisation at this address
Ramp Care At Home
Glenn S Shear Mdpc
Robin Alverson Inc
Georgia Urology Pa
Georgia Urology Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
207RE0101X
207RE0101X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-30

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