Dr Suraj Sukumaran, MD is a
Pediatrics physician based in Louisville, Georgia. Dr Suraj Sukumaran is licensed to practice in Georgia (license number 044598) and his current practice location is 1067 Peachtree St, Louisville, Georgia. He can be reached at his office (for appointments etc.) via phone at
(478) 625-7000.
NPI number for Dr Suraj Sukumaran is 1861408007 and his current mailing address is 1067 Peachtree St, Louisville, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861408007.
Physician's Profile
| Full Name | Dr Suraj Sukumaran |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1067 Peachtree St, Louisville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861408007
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 09/22/2020
Medical Identifiers
Medical identifiers for Dr Suraj Sukumaran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861408007 | NPI | - | NPPES |
| 000800357A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 044598 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Suraj Sukumaran is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Suraj Sukumaran, MD
1067 Peachtree St,
Louisville, GA 30434-1558
Ph: (478) 625-7000 | Dr Suraj Sukumaran, MD
1067 Peachtree St,
Louisville, GA 30434-1558
Ph: (478) 625-7000 |
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