Provider Demographics
NPI:1841281235
Name:CUDA, SUZANNE E (MD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:E
Last Name:CUDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:143 W SUNSET RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2659
Mailing Address - Country:US
Mailing Address - Phone:210-375-9685
Mailing Address - Fax:877-325-2479
Practice Address - Street 1:143 W SUNSET RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2659
Practice Address - Country:US
Practice Address - Phone:210-375-9685
Practice Address - Fax:877-325-2479
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2024-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP42952080A0000X, 2080B0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080B0002XAllopathic & Osteopathic PhysiciansPediatricsObesity Medicine
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX319564YU8FMedicare PIN