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DR. SUSHANTH RAGHU BODA DO NPI 1780114975


NPI Information

NPI: 1780114975
Provider Name: DR. SUSHANTH RAGHU BODA, DO
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
1365 ROCK QUARRY RD STE 202
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 771-6580
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DR. Sushanth Raghu Boda, DO is a pain medicine anesthesiology in Stockbridge, GA with 7 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Sushanth Raghu Boda, DO NPI is 1780114975. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:2017

The provider's business location address is:

1365 ROCK QUARRY RD STE 202
STOCKBRIDGE, GA
ZIP 30281-023
Phone: (770) 771-6580
Fax: (770) 771-6589

The NPI 1780114975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2017 and was last updated on 2/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology271781MASSACHUSETTSNo
2207L00000XAnesthesiology125071636ILLINOISNo
3207LP2900XAnesthesiologyPain Medicine92204GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.