Individual
SUMAN BHUSHAN KOGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 VARNUM AVE STE 203, LOWELL, MA 01854-2109
(978) 458-4300
Mailing address
275 VARNUM AVE STE 203, LOWELL, MA 01854-2109
(978) 458-4300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
293738
NY
Other
Enumeration date
07/31/2014
Last updated
10/28/2022
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