DR. MD FRCSC Sourendra Raut, NPI 1073847794
Orthopaedic Foot and Ankle Surgery Physician in Cumming, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1073847794
NPI Entity Type Individual
Provider Name DR. MD FRCSC Sourendra Raut
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1100 Northside Forsyth Drive, Suite 340, Cumming, GA, US
Provider Mailing Address 1100 Northside Forsyth Drive, Suite 340, Cumming, GA, US, 30041
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207XX0004X

Taxonomy Name Orthopaedic Foot and Ankle Surgery Physician
Classification

Orthopaedic Surgery

Group

Allopathic & Osteopathic Physicians

License No. 065169
License State GA
Description Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Business Address

DR. MD FRCSC Sourendra Raut
1100 Northside Forsyth Drive
Suite 340

Cumming, GA, US

Phone: 770-886-8111
Fax: 770-205-8539

Mailing Address

DR. MD FRCSC Sourendra Raut
1100 Northside Forsyth Drive
Suite 340
Cumming, GA, US
ZIP 30041
Phone: 770-886-8111
Fax: 770-205-8539

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207X00000X

Allopathic & Osteopathic Physicians

Orthopaedic Surgery

065169 GA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
003100343A GA MEDICAID 05
003100434B GA MEDICAID 05
003100434C GA MEDICAID 05

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