Individual
DR. BETHWEL RAORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
454 SATELLITE BLVD NW STE 100, SUWANEE, GA 30024-7191
(678) 250-0880
(678) 963-5307
Mailing address
454 SATELLITE BLVD NW STE 100, SUWANEE, GA 30024-7191
(678) 250-0880
(678) 963-5307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35098259
OH
207T00000X
Neurological Surgery Physician
Primary
076431
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063115
—
OH
Enumeration date
01/29/2008
Last updated
10/02/2023
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