Sudha R Ravoori, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

00025176 Issued in AL

Practice address

110 Edgewater TRL
Canton, GA 30115-1811

Phone

(770) 479-1417

Fax

(208) 275-1349

NPI assigned

Jun 4, 2006

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahp of Central Georgia, PC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1972638047
  NPD (past)
• Eclipse Anesthesia LLC

  dba AHP of Macon LLC

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1811174964
  NPD (past)
• Northside Cherokee Anesthesia Consultants, PC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1144299629
  NPD (past)
• Akshay Vakharia M.D.,PLLC

  • Anesthesiology Physician
  • Denton, TX
  • NPI 1043484819
  NPD (past)
• Denton Anesthesiology Associates, PA

  • Anesthesiology Physician
  • Denton, TX
  • NPI 1588622815
  NPD (past)
• Pacific Physician Services LLC

  • General Practice Physician
  • Petal, MS
  • NPI 1902861651
  NPD (past)
• University Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1821198631
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1700824224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EDGEWATER TRL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301151811",
            "telephone_number": "770-479-1417",
            "fax_number": "208-275-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EDGEWATER TRL",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301151811",
            "telephone_number": "770-479-1417",
            "fax_number": "208-275-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVOORI",
        "first_name": "SUDHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "00025176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PHYSICIAN BASE",
            "identifier": "51532371",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOSPITAL BASED",
            "identifier": "51002923",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uday Rajguru, RPH
• Samantha Ramalho, RN
• Chitra Ramasubbu, MD
• Carlos Ramos, DC
• Ramona Morton Rasmussen, OTR/L
• Hussein Rayatzadeh, M.D.
• Rebel Medical Group LLC
• Reclaim Physical Therapy, LLC
• Ryan D Rector, PHARMD
• Connie Reddin

• Anesthesiology Physician in Canton, GA
• Providers in Canton, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.