Individual
RAGHUVEER SURYADEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
056228
GA
208M00000X
Hospitalist Physician
Primary
056228
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246843772A
—
GA
Enumeration date
06/23/2006
Last updated
04/07/2017
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