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Individual
DR. HENRY SU
Active
Individual
DR. HENRY SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00035246
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00035246
WA
207RP1001X
Pulmonary Disease Physician
MD00035246
WA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD00035246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110240569
MEDICARE RAILROAD
WA
01
—
160728
LABOR & INDUSTRIES
WA
01
—
5369SU
BLUE SHIELD
WA
05
—
8226995
—
WA
Enumeration date
11/18/2005
Last updated
02/28/2013
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