Individual provider · Type 1 NPI

Sushma Duddugunta, MD

Student in an Organized Health Care Education/Training Program · Riverdale, GA

NPI number 1922981547 Active · reactivated Aug 17, 2026

Practice location

29 Upper Riverdale Road, Site 210
Riverdale, GA 30274

Call (770) 991-8570 Map

Mailing address

11 Upper Riverdale Road SW
Riverdale, GA 30274

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922981547

Sushma Duddugunta, MD's National Provider Identifier is 1922981547, issued on Jul 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverdale, GA. The record was last updated on Aug 17, 2026.