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Sushila S Rao

Pediatrics in Big Rapids, MI. Individual provider (NPI-1).

NPI number1104819085
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1104819085
Entity type
Individual (NPI-1)
Name
Sushila S Rao
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics4301060779MIYes

Practice location

650 Linden St
Suite 4
Big Rapids, MI 49307-1879

Phone 231-796-4470 · Fax 231-796-1605

Mailing address

650 Linden St
Suite 4
Big Rapids, MI 49307-1879

Phone 231-796-4470 · Fax 231-796-1605

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