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Individual

SUSAN KIERNAN OHORO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH, FSIR

Contact information

Practice address
8375 DIX ELLIS TRL STE 201, JACKSONVILLE, FL 32256-8241
(904) 399-5550
(904) 346-4334
Mailing address
PO BOX 116700, ATLANTA, GA 30368-6700
(904) 399-5550
(904) 346-4334

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
221036
MA
2085R0204X
Vascular & Interventional Radiology Physician
01088585S
IN
2085R0204X
Vascular & Interventional Radiology Physician
036162392
IL
2085R0204X
Vascular & Interventional Radiology Physician
221036
MA
2085R0204X
Vascular & Interventional Radiology Physician
22985
NV
2085R0204X
Vascular & Interventional Radiology Physician
319318
NY
2085R0204X
Vascular & Interventional Radiology Physician
32001
WV
2085R0204X
Vascular & Interventional Radiology Physician
35.146692
OH
2085R0204X
Vascular & Interventional Radiology Physician
57545
KY
2085R0204X
Vascular & Interventional Radiology Physician
73511
CT
2085R0204X
Vascular & Interventional Radiology Physician
89080
SC
2085R0204X
Vascular & Interventional Radiology Physician
93575
GA
2085R0204X
Vascular & Interventional Radiology Physician
MD2022-1387
NM
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME160068
FL
2085R0204X
Vascular & Interventional Radiology Physician
U0168
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2084074
MA
01
469827
TUFTS HEALTH CARE
MA
01
T28128
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/19/2005
Last updated
03/07/2023
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