Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 070341 | GA |
N | 207X00000X | Orthopaedic Surgeon | MD444890 | PA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 070341 | GA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD444890 | PA |
NPI | 1225249519 |
---|---|
Provider Name | Sudhir Rama Belagaje |
First Address | Atlanta, GA 30339-3035 |
Second Address | Austell, GA 30106-6821 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 14/11/2014 |