Individual
DR. SUSAN KARTIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW FL 6, WASHINGTON, DC 20037-3201
(202) 677-6219
(202) 741-3219
Mailing address
2150 PENNSYLVANIA AVE NW FL 6, WASHINGTON, DC 20037-3201
(202) 677-6219
(202) 741-3219
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD047306
DC
2086S0102X
Surgical Critical Care Physician
267696
MA
2086S0127X
Trauma Surgery Physician
267696
MA
Other
Enumeration date
07/18/2010
Last updated
04/26/2019
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