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

Dr. Patricia Susana Sullivan, MDMPH

Individual provider General Practice Physician · NPI 1861455222

Dr. Patricia Susana Sullivan, MDMPH is a Family Practice in Phoenix, Arizona. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona and South Carolina.

Years since qualifying
40
Licensed in
AZ, SC
In the registry since
2006
Specialties on file
2

Practice location Address checks out

702 E Bell Rd Ste 112
Phoenix, AZ 85022-6639
Phone: (602) 826-7134
Fax: (480) 269-9462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 40062 (AZ)
General Practice Physician Taxonomy 208D00000X · Licence 15987 (SC)

Record details

NPI number1861455222
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDMPH
Sole proprietorYes
NPI enumeratedApril 7, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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