Rajanala, Susmita
Rajanala, Susmita is an sole proprietor health care provider with primary practice located at 631 Professional Dr Suite 350, Lawrenceville GA 30046-3367. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Rajanala, Susmita can be contacted via phone (770) 995-0630.Contact Information
Primary practice address
631 Professional Dr Suite 350
Lawrenceville GA 30046-3367
Phone: (770) 995-0630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 067309 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 067309 | Georgia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 067309 | Georgia |
Profile Details
| NPI number | 1477612661 |
|---|---|
| LBN Legal business name | Rajanala, Susmita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 8th, 2014 - about 10 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 | 1477612661 | NPPES |
| Georgia | MEDICAID | 003121924B |
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