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

Individual provider Obstetrics & Gynecology Physician · NPI 1033296942

Antonius Susatyo Hadi, MD is an Obstetrics & Gynecology Physician in Boardman, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
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

8401 Market St
Boardman, OH 44512-6725
Phone: (330) 729-4350
Fax: (330) 729-4351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 35046065 (OH)

Record details

NPI number1033296942
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESDecember 28, 2016

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