Ravoori, Sudha R
Ravoori, Sudha R is an individual health care provider with primary practice located at 110 Edgewater Trl , Canton GA 30115-1811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Ravoori, Sudha R can be contacted via phone (770) 479-1417.Contact Information
Primary practice address
110 Edgewater Trl
Canton GA 30115-1811
Phone: (770) 479-1417
Fax: (208) 275-1349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 00025176 | Alabama |
Profile Details
| NPI number | 1700824224 |
|---|---|
| LBN Legal business name | Ravoori, Sudha R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Nov 1st, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700824224 | NPPES |
| Alaska | Other | 51002923 | BLUE CROSS HOSPITAL BASED |
| Alaska | Other | 51532371 | BLUE CROSS HOSPITAL BASED |
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