SUSEELA VAJRAKARUR NPI 1528024239

NPI Information

NPI: 1528024239
Provider Name: SUSEELA VAJRAKARUR
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1915 EISENHOWER DR
SAVANNAH, GA
ZIP 31406
Phone: (912) 356-2011
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Suseela Vajrakarur is a general practice in Savannah, GA. Suseela Vajrakarur NPI is 1528024239. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1915 EISENHOWER DR
SAVANNAH, GA
ZIP 31406-027
Phone: (912) 356-2011
Fax: (912) 351-3538

The enumeration date for this NPI number is 4/21/2006 and was last updated on 7/8/2007.

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
1	208D00000X	General Practice		028662	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	37BDBXM	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	028662	OTHER	GEORGIA	LICENSE
3	C45519	MEDICARE UPIN	GEORGIA

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: 11/14/2023

NPI Synchronization or Removal

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