Basic Information
Provider Information
NPI: 1932795275
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALZAYER
FirstName: SUJA
MiddleName: MAAN
NamePrefix: DR.
NameSuffix:  
Credential: MD, MSC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2416 K ST NW APT 305
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200371706
CountryCode: US
TelephoneNumber: 2023419479
FaxNumber:  
Practice Location
Address1: 900 23RD ST NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200372342
CountryCode: US
TelephoneNumber: 2027154000
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/20/2020
LastUpdateDate: 12/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMTL005996DCN Allopathic & Osteopathic PhysiciansSurgery 
390200000XMTL005996DCY Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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