Individual
DR. SHARON W SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
MD12760
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A91776
MEDICAL LICENSE
CA
01
—
MD12760
LICENSE
RI
01
—
MD157897
MEDICAL LICENSE
OR
Enumeration date
04/11/2007
Last updated
08/05/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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