Suman Bhushan Koganti, MD
Surgery in Lowell, Massachusetts
1497163661- Practice location
- 275 Varnum Ave Ste 203, Lowell, MA 01854-2109
- Phone
- 978-458-4300
- Fax
- —
- Last updated
- October 28, 2022
Suman Bhushan Koganti is a Surgery based in Lowell, MA. Suman Bhushan Koganti practices in Lowell, MA and has the professional credentials of MD. The NPI Number for Suman Bhushan Koganti is 1497163661 and holds a License No. 293738 (NY). The current practice location address for Suman Bhushan Koganti is 275 Varnum Ave Ste 203, Lowell, MA 01854-2109 and can be reached out via phone at 978-458-4300.
Provider Profile Details
- NPI Number
- 1497163661
- Provider Name
- Suman Bhushan Koganti
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 275 Varnum Ave Ste 203, Lowell, MA 01854-2109
- Phone Number
- 978-458-4300
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 31, 2014
- Last Update Date
- October 28, 2022
- Certification Date
- October 28, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 275 Varnum Ave Ste 203
Lowell, MA 01854-2109 - City
- Lowell
- State
- Massachusetts
- Zip
- 01854-2109
- Phone Number
- 978-458-4300
Provider Business Mailing Address Details
- Address
- 275 Varnum Ave Ste 203
Lowell, MA 01854-2109 - City
- Lowell
- State
- MA
- Zip
- 01854-2109
- Phone Number
- 978-458-4300
License Information
- License Number
- 293738
- License State
- NY
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Lowell, MA
View all Surgery providers in Lowell →Frequently Asked Questions
What is the NPI number of Suman Bhushan Koganti, MD?
The NPI number of Suman Bhushan Koganti, MD is 1497163661. It was assigned on July 31, 2014 and is currently active in the NPPES registry.
What is the specialty of Suman Bhushan Koganti, MD?
Suman Bhushan Koganti, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NY under license number 293738.
Where does Suman Bhushan Koganti, MD practice?
The practice location is 275 Varnum Ave Ste 203, Lowell, MA 01854-2109. The office can be reached at 978-458-4300 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497163661 directly on the NPPES registry website.