Adham, Susan Lyla
Adham, Susan Lyla is an individual health care provider with primary practice located at 4053 Lone Tree Way Suite 101, Antioch CA 94531-6210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Adham, Susan Lyla can be contacted via phone (925) 756-3400.Contact Information
Primary practice address
4053 Lone Tree Way Suite 101
Antioch CA 94531-6210
Phone: (925) 756-3400
Fax: (925) 757-6387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A108068 | California |
Profile Details
| NPI number | 1215256599 |
|---|---|
| LBN Legal business name | Adham, Susan Lyla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2010 |
| Last updated | Oct 27th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215256599 | NPPES |
| California | Other | A108068 | STATE LICENSE |
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