Jason J Suh, MD | |
748 14th Ave, Longview, WA 98632-2315 | |
(360) 501-3601 | |
(360) 501-3648 |
Full Name | Jason J Suh |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 748 14th Ave, Longview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437150976 | NPI | - | NPPES |
110197712 | Other | RR MEDICARE | |
126462 | Other | WA | LABOR & IND. |
150259 | Medicaid | OR | |
8209124 | Medicaid | WA | |
8923177 | Other | WA | CRIME VICTIMS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00034987 (Washington) | Primary |
208M00000X | Hospitalist | MD00034987 (Washington) | Secondary |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Mailing Address | Practice Location Address |
---|---|
Jason J Suh, MD Po Box 249, Longview, WA 98632-7154 Ph: (360) 414-2048 | Jason J Suh, MD 748 14th Ave, Longview, WA 98632-2315 Ph: (360) 501-3601 |
Yoon Hee Amy Chang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7800 | |
Alexander Shar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7878 Fax: 360-414-7876 | |
Mr. Anawin Sanguankeo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Lyudmila E Kruzhkov, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 | |
Dr. Sahar Taqui, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 | |
James J Nakashima, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2700 Fax: 360-414-2714 | |
Gaurav Gandhi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-414-5768 |