Immanuel Susai
Immanuel Susai is an Internal Medicine Physician in Baltimore, Maryland. Licensed in Maryland and South Carolina. Registered with an NPI since 2010.
- Licensed in
- MD, SC
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
2401 W Belvedere AveBaltimore, MD 21215-5216
Phone: (410) 601-9000
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD51339 (SC) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence P25214 (MD) |
Record details
| NPI number | 1558688523 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 29, 2010 |
| Last updated in NPPES | December 1, 2020 |
| Certification date | December 1, 2020 |
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