Individual
DR. SU SU LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 2ND AVE SW, STE. 107-A, MIAMI, OK 74354-6743
(918) 540-7820
(918) 540-7819
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(918) 540-7820
(918) 540-7819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24365
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200056600A
—
OK
05
—
200462050D
—
OK
Enumeration date
03/09/2006
Last updated
02/03/2016
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