# MS. SUZAN HANNA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619195625
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A55301 | CA | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | A55301 | CA | — |
| 207QA0505X | Adult Medicine Physician | A55301 | CA | — |
| 208000000X | Pediatrics Physician | A53301 | CA | — |
| 208D00000X | General Practice Physician | A55301A | CA | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A553010 | — | CA |