Dr. Susan Elizabeth Ingraham

MD, PHD | Pediatric Nephrology | Female

Dr. Susan Elizabeth Ingraham, MD, PHD is a Honolulu, Hawaii based Pediatric doctor with medical specialization in Pediatric Nephrology. Current practice location of Dr. Susan Elizabeth Ingraham is 1314 S King St, Suite 415, Honolulu, Hawaii - 96814-1956. She can be contacted on phone at 808-592-3250 and fax number 808-592-3251. Dr. Susan Elizabeth Ingraham is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Susan Elizabeth Ingraham is 1841445921 which was assigned by NPPES on 17 Nov, 2008 and it was last updated on 21 Jul, 2016. Dr. Susan Elizabeth Ingraham license number is 18713 for Pediatrics Pediatric Nephrology (2080P0210X) in Hawaii.
Dr. Susan Elizabeth Ingraham deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Dr. Susan Elizabeth Ingraham basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Nephrology
Provider Name :Dr. Susan Elizabeth Ingraham
Credential :MD, PHD
Gender :Female
Business Address:
Dr. Susan Elizabeth Ingraham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :1314 S King St, Suite 415
Honolulu, HI, 96814-1956
United States
Phone Number :808-592-3250
Fax Number :808-592-3251
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1841445921
NPI Entity Type : Individual
First Enrolment Date : 17 Nov, 2008
Last Updated On : 21 Jul, 2016
Medicare Participation:
Dr. Susan Elizabeth Ingraham participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :0042483828
Medicare Enrollment ID :I20161013002665
Primary Specialty :Nephrology
Medical School :University Of Cincinnati College Of Medicine
Graduation Year :2004
Accepts Medicare?Yes. Dr. Susan Elizabeth Ingraham accepts medicare insurance.
Group Practice Association:
Dr. Susan Elizabeth Ingraham is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Susan Elizabeth Ingraham is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Kapiolani Medical Specialists0648183988751319 Punahou St
Honolulu, HI - 968261001
Ph: 8089836000
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Susan Elizabeth Ingraham are as mentioned. Primary taxonomy code for Dr. Susan Elizabeth Ingraham, MD, PHD is 2080P0210X (Pediatrics Pediatric Nephrology).
Taxonomy Code SpecialityPrimaryLicense No.State
2080P0210XPediatrics Pediatric NephrologyNo35-088687OH
2080P0210XPediatrics Pediatric NephrologyYes18713HI
Legacy Identifiers:
Other legacy medical identifiers of Dr. Susan Elizabeth Ingraham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
3147866MEDICAIDOH
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :1314 S King St, Suite 415
Honolulu, HI, 96814-1956
United States
Phone Number :808-592-3250
Fax Number :808-592-3251
Business Location:
Patients can refer following map for directions to Dr. Susan Elizabeth Ingraham practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.