Individual
SUSHMA KOSARAJU
Active
Individual
SUSHMA KOSARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD473714
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
03/22/2017
Last updated
09/28/2022
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