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

Sushama Channaveeraiah

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699122606

Sushama Channaveeraiah is a Student in an Organized Health Care Education/Training Program in Orange Park, Florida. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-2000
Fax: (904) 639-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1699122606
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2016
Last updated in NPPESMay 19, 2016
Mailing address2001 Kingsley Ave, Orange Park, FL 32073-5148

Other providers in Orange Park