NPI 1003399809 · live from the CMS NPI Registry
Rajitha Bommakanti, RN
Registered Nurse in Alpharetta, GA. National Provider Identifier 1003399809, active.
NPI record
| NPI | 1003399809 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 13225 Caris Ct, Alpharetta, GA 30009 |
| Practice phone | 919-656-1029 |
| Enumerated | September 8, 2018 |
| Last updated | November 22, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Case Management | 163WC0400X | RN208614 (GA) |
| Registered Nurse, Community Health | 163WC1500X | RN208614 (GA) |
| Registered Nurse, Diabetes Educator | 163WD0400X | RN208614 (GA) |
| Registered Nurse, Dialysis, Peritoneal | 163WD1100X | RN208614 (GA) |
| Registered Nurse, Home Health | 163WH0200X | RN208614 (GA) |
| Registered Nurse, Hemodialysis | 163WH0500X | RN208614 (GA) |
| Registered Nurse primary | 163W00000X | RN208614 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.