Boda, Sushanth Raghu

Boda, Sushanth Raghu is an sole proprietor health care provider with primary practice located at 1365 Rock Quarry Rd Ste 202 , Stockbridge GA 30281-5023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Boda, Sushanth Raghu can be contacted via phone (770) 771-6580.

Contact Information

Primary practice address
1365 Rock Quarry Rd Ste 202 Stockbridge GA 30281-5023
Phone: (770) 771-6580
Fax: (770) 771-6589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 271781 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 125071636 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 92204 Georgia

Profile Details

NPI number 1780114975
LBN Legal business name Boda, Sushanth Raghu
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2017
Last updated Feb 6th, 2023 - about 2 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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