Individual
SU XU
Active
Individual
SU XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
ME90020
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME90020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081220
CIGNA
FL
05
—
102177400
—
FL
01
—
43262
FL BLUE
FL
01
—
592235385
MULTIPLAN
FL
01
—
592235685
UNITED HC
FL
01
—
7367680
AETNA
FL
Enumeration date
06/16/2008
Last updated
09/12/2019
Update your record
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