DR. SURAJ SUKUMARAN MD
NPI 1861408007
Pediatrics in Louisville, GA

Q: What is Suraj Sukumaran's NPI number?

The NPI number for Suraj Sukumaran is 1861408007. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Suraj Sukumaran's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Suraj Sukumaran was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2006

1067 PEACHTREE ST, LOUISVILLE, GA 30434(478) 625-7000(478) 625-8907 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2020, Apr 16, 2019 (2 updates tracked since 2019).

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About Dr. Suraj Sukumaran Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SURAJ SUKUMARAN MD (NPI 1861408007) is an individual pediatrics provider in Louisville, Georgia, licensed in Georgia (044598) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1861408007

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. SURAJ SUKUMARANCredential: MD

Location Address1067 PEACHTREE STLouisville, GA 30434-1558

Mailing Address1067 Peachtree StLouisville, GA 30434-1558 · (478) 625-7000 · Fax (478) 625-8907

Phone(478) 625-7000

Fax(478) 625-8907

Sole ProprietorYes

Enumeration DateJuly 31, 2006

Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2020

✔ NPI 1861408007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 044598

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1067 PEACHTREE ST, Louisville, GA 30434

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Other Identifiers 1

Medicaid000800357AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Occupational Therapist