Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D75239 | MD |
N | 111NI0900X | Internist | D75239 | MD |
N | 207RH0000X | Hematologist | D75239 | MD |
Y | 207RX0202X | Medical Oncology | D75239 | MD |
NPI | 1457679458 |
---|---|
Provider Name | Ikumi Suzuki |
First Address | Baltimore, MD 21201-1544 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2010 |
Last Update Date | 28/06/2019 |