Dr Sushanth Raghu Boda, DO | |
3231 Highway 34 E Ste C, Newnan, GA 30265-6407 | |
(678) 971-4167 | |
Not Available |
Full Name | Dr Sushanth Raghu Boda |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 3231 Highway 34 E Ste C, Newnan, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780114975 | NPI | - | NPPES |
Entity Name | Southeastern Interventional Pain Asc, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1588994685 PECOS PAC ID: 2062799794 Enrollment ID: O20170508000855 |
Entity Name | Pca Interventional Spine At Fayette, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1447791074 PECOS PAC ID: 3476893645 Enrollment ID: O20190326001044 |
Entity Name | Southern Pain And Spine Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336744770 PECOS PAC ID: 7517370299 Enrollment ID: O20210120000336 |
Entity Name | Northeast Georgia Surgery Center |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1265037600 PECOS PAC ID: 4284027962 Enrollment ID: O20220201001128 |
Entity Name | Jasper Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1730842311 PECOS PAC ID: 6709254964 Enrollment ID: O20221118000413 |
Entity Name | Newnan Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1740953447 PECOS PAC ID: 8527428812 Enrollment ID: O20230718003501 |
Entity Name | Athens Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1467140327 PECOS PAC ID: 7113380759 Enrollment ID: O20230829003502 |
Mailing Address | Practice Location Address |
---|---|
Dr Sushanth Raghu Boda, DO 3231 Highway 34 E Ste C, Newnan, GA 30265-6407 Ph: (678) 971-4167 | Dr Sushanth Raghu Boda, DO 3231 Highway 34 E Ste C, Newnan, GA 30265-6407 Ph: (678) 971-4167 |
Sarah Aileen Jennings-kumagai, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 770-400-1000 | |
Dr. Brian Everett Caruthers, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Dr, Ste A, Newnan, GA 30265 Phone: 770-251-2060 | |
Dr. Ian Marks, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 80 Newnan Station Dr Ste A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Dr. Jaiwantkumar M Avula, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235 | |
Dr. Reinhard Ketsche, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 770-400-1000 | |
Oladiran Oladapo Amosu, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 770-400-1000 | |
Dr. Richard Lee Jacobs Ii, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1595 Highway 34 E, Newnan, GA 30265 Phone: 919-407-2835 |