Yulianty D. Kusuma MD

NPI 1265627145 - Internal Medicine - 207R00000X

NPI Details
NPI 1265627145
Gender Female
Enumeration Date 09/13/2007
Last Updated 08/25/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
6413 WATERS AVE
SUITE 102
SAVANNAH GA, 31406-2711, US
Phone (912) 349-6624
Fax (912) 354-4694
Business Location
6413 WATERS AVE
SUITE 102
SAVANNAH GA, 31406-2711, US
Phone (912) 349-6624
Fax (912) 354-4694
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 061279
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According to our database, Yulianty D. Kusuma MD NPI is 1265627145, taxonomy code is 207R00000X and license number is 061279, license state is located at Georgia. Yulianty D. Kusuma MD physically located at 6413 Waters Ave, Savannah GA, 31406-2711. NPI Number Yulianty D. Kusuma MD has the Individual type.

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1265627145 NPI number is provided on an as is basis without warranty of any kind. 1265627145 is maintained by the National Plan & Provider Enumeration System. The contents of Yulianty D. Kusuma MD are for informational purposes only.