Individual provider · Type 1 NPI

Suleka Neelagaru, MD

Student in an Organized Health Care Education/Training Program · Kennesaw, GA

NPI number 1972762136 Active

Practice location

750 Town Park Lane, Kaiser Permenente Town Park Medical Office
Kennesaw, GA 30144

Fax (631) 444-7525

Mailing address

3495 Piedmont Road, Nine Piedmont Center
Atlanta, GA 30305-1736

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972762136

Suleka Neelagaru, MD's National Provider Identifier is 1972762136, issued on Jun 3, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kennesaw, GA. The record was last updated on Apr 4, 2012.