Provider Demographics
NPI:1831888189
Name:SUMAN, FNU (MD)
Entity type:Individual
Prefix:
First Name:FNU
Middle Name:
Last Name:SUMAN
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 1:1514 JEFFERSON HIGHWAY, OCHSNER MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-842-3930
Mailing Address - Fax:504-842-3676
Practice Address - Street 1:1514 JEFFERSON HIGHWAY, OCHSNER MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121
Practice Address - Country:US
Practice Address - Phone:504-842-4178
Practice Address - Fax:504-842-4805
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-12-19
Deactivation Date:2023-12-07
Deactivation Code:
Reactivation Date:2023-12-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program