Grannan, Suzanne M

Grannan, Suzanne M is an individual health care provider with primary practice located at 8150 Oaklandon Road Suite 130, Indianapolis IN 46236-9543. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Grannan, Suzanne M can be contacted via phone (317) 621-1111.

Contact Information

Primary practice address
8150 Oaklandon Road Suite 130 Indianapolis IN 46236-9543
Phone: (317) 621-1111
Fax: (317) 621-1110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01057464 Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01057464A Indiana

Profile Details

NPI number 1275638777
LBN Legal business name Grannan, Suzanne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Nov 27th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275638777 NPPES
Indiana MEDICAID 200453750
Indiana Other P01179052

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