Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bethwel Raore, MD

Individual provider Specialist · NPI 1215114475

Dr. Bethwel Raore, MD is a Neurosurgery in Suwanee, Georgia. Qualified in 2005, 21 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Georgia and Ohio.

Years since qualifying
21
Licensed in
GA, OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

454 Satellite Blvd NW Ste 100
Suwanee, GA 30024-7191
Phone: (678) 250-0880
Fax: (678) 963-5307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 076431 (GA)
Specialist Taxonomy 174400000X · Licence 35098259 (OH)

Record details

NPI number1215114475
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 29, 2008
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address454 Satellite Blvd Nw Ste 100, Suwanee, GA 30024-7191

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Suwanee