Provider Demographics
NPI:1124853643
Name:SULEIK-YU, ANNE MARIE (MD)
Entity type:Individual
Prefix:
First Name:ANNE MARIE
Middle Name:
Last Name:SULEIK-YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DR. PAUL TURNER DRIVE
Mailing Address - Street 2:1 DR. PAUL TURNER DRIVE
Mailing Address - City:PAGO PAGO
Mailing Address - State:AMERICAN SAMOA
Mailing Address - Zip Code:96799
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 DR. PAUL TURNER DRIVE
Practice Address - Street 2:1 DR. PAUL TURNER DRIVE
Practice Address - City:PAGO PAGO
Practice Address - State:AMERICAN SAMOA
Practice Address - Zip Code:96799
Practice Address - Country:UM
Practice Address - Phone:684-633-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AS5123C2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology