Rao, Kusuma

Rao, Kusuma is an sole proprietor health care provider with primary practice located at 703 S 9Th St , Griffin GA 30224-4820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rao, Kusuma can be contacted via phone (770) 227-2727.

Contact Information

Primary practice address
703 S 9Th St Griffin GA 30224-4820
Fax: (770) 227-1276
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 027146 Georgia

Profile Details

NPI number 1740285212
LBN Legal business name Rao, Kusuma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Dec 11th, 2013 - about 12 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 1740285212 NPPES
Georgia MEDICAID 00314245A

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