Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSHANTH RAGHU BODA, DO
Active Sole ProprietorDR. SUSHANTH RAGHU BODA, DO is a Interventional Vascular Surgery healthcare provider located in NEWNAN, Georgia. NPI 1780114975 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · NEWNAN, GA
Registration Details
- NPI Number
- 1780114975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2017 (8.9667114158575 yrs)
- Last Updated
- Oct 31, 2025
- Licenses
-
92204 (GA)92204 (GA)271781 (MA)125071636 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3231 HIGHWAY 34 E STE CNEWNAN, GA, 302656407Browse GA providers · Browse ZIP 30265
- Phone
- 6789714167
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Anesthesiology
Other Interventional Vascular Surgery Providers in NEWNAN, GA
| Name | Credential | NPI |
|---|---|---|
| DR. BRIAN STEPHENSON ZEH | M.D. | 1619194842 |
| DR. NATHAN J NEUFELD | D.O. | 1497993067 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.