Suh, Theodore T

Suh, Theodore T is an individual health care provider with primary practice located at 4260 Plymouth Rd , Ann Arbor MI 48109-2700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Suh, Theodore T can be contacted via phone (734) 764-6831.

Contact Information

Primary practice address
4260 Plymouth Rd Ann Arbor MI 48109-2700
Phone: (734) 764-6831
Fax: (734) 647-8535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35079592 Ohio
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 43211 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301104150 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301104150 Michigan

Profile Details

NPI number 1922040245
LBN Legal business name Suh, Theodore T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 31st, 2014 - about 11 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 1922040245 NPPES
Ohio MEDICAID 2467674

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