SUSEELA VAJRAKARUR (NPI# 1528024239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528024239 |
| Entity Type | Individual |
| Full Name | SUSEELA VAJRAKARUR |
| Practice Address |
1915 Eisenhower Dr Savannah GA 31406-5027 |
| Practice Telephone | 9123562011 |
| Practice Fax Number | 9123513538 |
| Mailing Telephone | 9123562011 |
| Mailing Fax Number | 9123513538 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 028662 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 028662 | 01 |
| Street Address |
1915 EISENHOWER DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568424133 | Todd David Burnett | Psychologist | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2006-04-06 |
| 1013525005 | Dhariniben Patel | Nurse Practitioner | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2020-07-16 |
| 1770135881 | Joshua Sheley | Physician Assistant | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2019-07-10 |
| 1023671591 | Sarah Ashley Mello | Psychologist | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2019-04-19 |
| 1154817906 | Mary Alice Gillingham | Nurse Practitioner | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2018-07-05 |
| 1932617362 | Jennifer Anderson | Social Worker | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2018-01-19 |
| 1265832554 | Carrie Virginia Hall | Physician Assistant | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2014-08-25 |
| 1124455993 | Esther Z. Burns | Dietitian, Registered | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2013-10-10 |
| 1932534088 | Enith Elise Hickman | Psychologist | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2013-09-09 |
| 1477998987 | H. Andrew Mannich | Counselor | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513217 | Cherica Jones | General Practice | 7805 Waters Ave Ste 3b, Savannah, GA 31406-2443 | 2019-02-05 |
| 1740706449 | Stacy Jane Slaght | General Practice | 151 Three Mast Ct, Savannah, GA 31410 | 2017-08-15 |
| 1649691338 | Philip Joseph Keating | General Practice | 25 W Perry St, Savannah, GA 31401-3951 | 2013-12-23 |
| 1902157902 | Donald Lyle Gates | General Practice | 6602 Abercorn Street, Suite 102, Savannah, GA 31405 | 2012-10-01 |
| 1205152311 | Lori Danielle Lynch | General Practice | 3 Johnston St, Savannah, GA 31405-5502 | 2010-04-14 |
| 1487887154 | Donald Hosford Bailey | General Practice | 463 Johnny Mercer Blvd, Suite B7 #331, Savannah, GA 31410-2167 | 2009-08-28 |
| 1174705073 | First Choice Wellness and Physical Medicine | General Practice | 340 Eisenhower Dr Ste 610, Savannah, GA 31406-1616 | 2007-12-03 |
| 1578779054 | Myra Mccoy Pope | General Practice | 2507 Little John Ct, Savannah, GA 31406-4124 | 2007-05-14 |
| 1518984194 | Michael Lewis Smith | General Practice | 255 Wayne Rd Ste B, Savannah, TN 38372-1948 | 2006-07-17 |
| 1790718898 | River City Convenient Care | General Practice | 1960 Pickwick St, Savannah, TN 38372-5309 | 2006-07-09 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.