Individual
SUSHILA S RAO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
650 LINDEN ST, SUITE 4, BIG RAPIDS, MI 49307-1879
(231) 796-4470
(231) 796-1605
Mailing address
650 LINDEN ST, SUITE 4, BIG RAPIDS, MI 49307-1879
(231) 796-4470
(231) 796-1605
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301060779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3257456
—
MI
Enumeration date
08/25/2005
Last updated
07/08/2007
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