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Individual

BRIAN SU

Active
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Individual

BRIAN SU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01099129A
IN
207R00000X
Internal Medicine Physician
317628
NY
207RN0300X
Nephrology Physician
317628
NY

Other

Enumeration date
12/17/2018
Last updated
03/09/2026
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