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Contact Information

KULANU MEDICAL LLC
4905 LAVISTA RD STE A
TUCKER, GA30084-4409
 Phone: 770-680-5740
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for KULANU MEDICAL LLC · (Female)

NPI Number 1164377602
Status Active
Credentials
Entity Individual
Enumeration date 03/02/2026
Last updated 03/02/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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