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
Phone: (770) 227-2727
Fax: (770) 227-1276
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740285212 | NPPES |
Georgia | MEDICAID | 00314245A |
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