Puppala, Susmitha

Puppala, Susmitha is an individual health care provider with primary practice located at 2701 N Decatur Rd , Decatur GA 30033. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Puppala, Susmitha can be contacted via phone (404) 501-5422.

Contact Information

Primary practice address
2701 N Decatur Rd Decatur GA 30033
Phone: (404) 501-5422
Fax: (404) 501-1771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 069426 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036120875 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.30083 Alabama
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 069426 Georgia

Profile Details

NPI number 1679739981
LBN Legal business name Puppala, Susmitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Oct 23rd, 2018 - about 6 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 1679739981 NPPES
Alabama MEDICAID IND NPI / 130250

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