# DR. SUSAN ELIZABETH INGRAHAM

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

## Provider details

- **NPI number:** 1841445921
- **Gender:** F
- **Credential:** MD, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | 18713 | HI | — |
| 2080P0210X | Pediatric Nephrology Physician | 35-088687 | OH | — |
| 2080P0210X | Pediatric Nephrology Physician | ME170713 | FL | Yes |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 11/07/2024
