Patrick Suezaki, is a
Student In An Organized Health Care Education/training Program based in San Jose, California. Patrick Suezaki is licensed to practice in * (Not Available) (license number ) and his current practice location is
250 Montclair Ave Ste C, San Jose, California. He can be reached at his office (for appointments etc.) via phone at
(408) 251-0547.
NPI number for Patrick Suezaki is 1306333174 and his current mailing address is 250 Montclair Ave Ste C, San Jose, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306333174.
Healthcare Provider's Profile
| Full Name | Patrick Suezaki |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 250 Montclair Ave Ste C, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306333174
- Provider Enumeration Date: 04/17/2018
- Last Update Date: 09/06/2018
Medical Identifiers
Medical identifiers for Patrick Suezaki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306333174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 102632 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patrick Suezaki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Patrick Suezaki,
250 Montclair Ave Ste C,
San Jose, CA 95116-1761
Ph: (408) 251-0547 | Patrick Suezaki,
250 Montclair Ave Ste C,
San Jose, CA 95116
Ph: (408) 251-0547 |
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