Individual
SUSHMA KOSARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2219
(717) 972-4844
Mailing address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2219
(717) 972-4844
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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