Individual
SUSMITA RAJANALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
631 PROFESSIONAL DR, SUITE 350, LAWRENCEVILLE, GA 30046-3367
(770) 995-0630
Mailing address
631 PROFESSIONAL DR, SUITE 350, LAWRENCEVILLE, GA 30046-3367
(770) 995-0630
(770) 995-1555
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
067309
GA
207RP1001X
Pulmonary Disease Physician
Primary
067309
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
067309
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121924B
—
GA
Enumeration date
12/06/2006
Last updated
02/10/2026
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