Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | MD61031993 | WA |
NPI | 1033529649 |
---|---|
Provider Name | Suha Kadura |
First Address | Bellevue, WA 98004-8578 |
Second Address | Brooklyn, NY 11220-2508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2014 |
Last Update Date | 30/09/2021 |