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Bryan Mitra Kamalaker, DO
Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia
NPI 1952050080

Bryan Mitra Kamalaker is a Student in an Organized Health Care Education/Training Program based in Lawrenceville, GA. Bryan Mitra Kamalaker practices in Lawrenceville, GA and has the professional credentials of DO. The NPI Number for Bryan Mitra Kamalaker is 1952050080 and holds a License No. (Georgia).

The current practice location address for Bryan Mitra Kamalaker is 1000 Medical Center Blvd, Lawrenceville, GA and can be reached out via phone at 678-312-4073 and via fax at 678-312-3674.

Location: 1000 Medical Center Blvd, Lawrenceville, GA, 30046-7694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952050080
Provider Name
Bryan Mitra Kamalaker
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1000 Medical Center Blvd, Lawrenceville, GA, 30046-7694
Phone Number
678-312-4073
Fax Number
678-312-3674
Provider Enumeration Date
03/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30046-7694
Phone Number
678-312-4073
Fax Number
678-312-3674
person
Provider Business Mailing Address Details
Address
1000 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30046-7694
Phone Number
678-312-4073
Fax Number
678-312-3674
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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