Raut, Sourendra

Raut, Sourendra is an individual health care provider with primary practice located at 1100 Northside Forsyth Drive Suite 340, Cumming GA 30041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Raut, Sourendra can be contacted via phone (770) 886-8111.

Contact Information

Primary practice address
1100 Northside Forsyth Drive Suite 340 Cumming GA 30041
Phone: (770) 886-8111
Fax: (770) 205-8539
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 065169 Georgia
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 065169 Georgia

Profile Details

NPI number 1073847794
LBN Legal business name Raut, Sourendra
Credentials MD FRCSC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2009
Last updated Dec 28th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073847794 NPPES
Georgia MEDICAID 003100343A
Georgia MEDICAID 003100434B
Georgia MEDICAID 003100434C

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