Aita Kai Susi is a Psychiatry in Philadelphia, Pennsylvania. Aita Kai Susi practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Aita Kai Susi is 1336137249. The last update date is 2014-05-19.
Aita Kai Susi's current location address is 3509 N Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157075437 and fax number 2157075180. The mailing address for Aita Kai Susi is 3509 N Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Aita Kai Susi |
|---|---|
| Address | 3509 N Broad St, Philadelphia, Pennsylvania |
| Phone Number | 2157075437 |
| Fax Number | 2157075180 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336137249 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2014-05-19 |
Provider Mailing Address Detail
| Address | 3509 N Broad St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 19140 |
| Phone Number | 2157075437 |
| Fax Number | 2157075180 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD053877L |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1548356 | PA | -- | |
| 340035FPX | PA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Aita Kai Susi by the Centers for Medicare & Medicaid Services?
The Aita Kai Susi has been issued the NPI (National Provider Identifier) 1336137249, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Aita Kai Susi's facilities are situated?
The facilities of Aita Kai Susi are physically located at the following address: 3509 N Broad St, Philadelphia, PA, 19140.
What is Aita Kai Susi's specialized field of practice, and what is the corresponding taxonomy classification code?
The Aita Kai Susi's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336137249 to Aita Kai Susi?
The Aita Kai Susi received its 1336137249 assignment from the Centers for Medicare & Medicaid Services on 2005-10-13.
As of what date was the information regarding Aita Kai Susi, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Aita Kai Susi, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-05-19.