Katureebe Medical Associates, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KATUREEBE MEDICAL ASSOCIATES, PC

Practice address

290 Blue Spruce TRL
Lilburn, GA 30047-7060

Phone

(617) 901-6120

NPI assigned

Jul 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Glenn Banegura, MD

Title

Owner

Phone

(617) 901-6120

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1831862325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BLUE SPRUCE TRL",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300477060",
            "telephone_number": "617-901-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BLUE SPRUCE TRL",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300477060",
            "telephone_number": "617-901-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATUREEBE MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "BANEGURA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-901-6120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosaline Kamara
• Ginikanwa Linda Kanayo-Egwuatu
• Nisha Maniar Kancherla, DMD
• Rishi R Kapur, DMD
• George Z Katsitadze, MD PHD
• Mandeep Kaur, SONOGRAPHER
• Scott T Keller, DO
• Jeremy Craig Kemp
• Kevin M. Lacour, DDS, PC
• Karim Khan, MD

• Family Medicine Physician in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.