Su, Peter

Su, Peter is an sole proprietor health care provider with primary practice located at 1438 Defense Highway Suite 201, Gambrills MD 21054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Su, Peter can be contacted via phone (410) 721-3200.

Contact Information

Primary practice address
1438 Defense Highway Suite 201 Gambrills MD 21054
Phone: (410) 721-3200
Fax: (410) 721-2680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0056977 Maryland

Profile Details

NPI number 1184664146
LBN Legal business name Su, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Mar 20th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184664146 NPPES
Other 407044800 MEDICAL ASSISTANCE
Other 558223 MEDICAL ASSISTANCE
Other 1S80P MEDICAL ASSISTANCE
Other F1880001 MEDICAL ASSISTANCE
Other 13564 MEDICAL ASSISTANCE
Other 7120279 MEDICAL ASSISTANCE
Other F1880001 MEDICAL ASSISTANCE
Other P15312 MEDICAL ASSISTANCE
MEDICAID 407048800 MEDICAL ASSISTANCE
Other 4301934 MEDICAL ASSISTANCE
Other F1880001 MEDICAL ASSISTANCE
Other 165131 MEDICAL ASSISTANCE
Other 223342 MEDICAL ASSISTANCE
Other 223342 MEDICAL ASSISTANCE

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