| Dr Sudha R Ravoori, MD | |
|
110 Edgewater Trl, Canton, GA 30115-1811 | |
| (770) 479-1417 | |
| (208) 275-1349 |
| Full Name | Dr Sudha R Ravoori |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 110 Edgewater Trl, Canton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700824224 | NPI | - | NPPES |
| 51002923 | Other | AK | BLUE CROSS HOSPITAL BASED |
| 51532371 | Other | AL | BLUE CROSS PHYSICIAN BASE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 00025176 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sudha R Ravoori, MD 110 Edgewater Trl, Canton, GA 30115-1811 Ph: (770) 479-1417 | Dr Sudha R Ravoori, MD 110 Edgewater Trl, Canton, GA 30115-1811 Ph: (770) 479-1417 |
Trina Kay Juzang, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 201 Hospital Rd, Anesthesia Dept, Canton, GA 30114 Phone: 404-851-6500 Fax: 770-237-1124 | |
Dr. Murugiah R Mani, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1320 Oakside Dr, Suite 203, Canton, GA 30114 Phone: 770-479-2322 Fax: 770-720-7695 | |
Adam Lee Chadwick, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 404-851-8917 Fax: 404-303-3636 | |
Dr. Barry Neil Straus, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1320 Oakside Dr, Suite 203, Canton, GA 30114 Phone: 770-479-2322 Fax: 770-720-7695 | |
Chitra Ramasubbu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 145 Riverstone Ter Ste 101, Canton, GA 30114 Phone: 770-450-4807 | |
Dr. Efrim Cassius Moore, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1320 Oakside Dr, Suite 203, Canton, GA 30114 Phone: 770-479-2322 Fax: 770-720-7695 |