Melvin Susanto MD

  • NPI 1558939629
According to our database, the NPI number for Melvin Susanto MD is 1558939629 and activated since 2 years ago. Melvin Susanto MD is an individual provider who specializes in Family Medicine, and the primary practice location is 750 Broadway Ste 350, Fort Wayne, IN 46802. You can also contact Melvin Susanto MD via telephone number is (260) 423-2675. Provider NPI information was last updated on 06/15/2021.

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Overview of Melvin Susanto MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/15/2021
  • Last updated: 06/15/2021

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 11021823A
  • License State: IN

Provider Mailing Address

  • Address: 750 Broadway Ste 350
    Fort Wayne, IN 46802
  • Phone: 260-423-2675
  • Fax: 260-423-6621

Provider Practice Location

  • Address: 750 Broadway Ste 350
    Fort Wayne, IN 46802
  • Phone: 260-423-2675
  • Fax: 260-423-6621

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Melvin Susanto MD?
  • A: The npi number for Melvin Susanto MD is 1558939629.
  • Q: What are Melvin Susanto MD's specialties?
  • A: Melvin Susanto MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Melvin Susanto MD?
  • A: The medical license number for Melvin Susanto MD is 11021823A and issued in IN in USA.
  • Q: Where is Melvin Susanto MD practice location?
  • A: Melvin Susanto MD is practicing at 750 Broadway Ste 350, Fort Wayne, IN 46802.
  • Q: How to contact Melvin Susanto MD?
  • A: You can contact Melvin Susanto MD via 260-423-2675.
Medicare Specialty
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