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 |
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Provider Name : | Dr. Susan Elizabeth Ingraham |
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Credential : | MD, PHD |
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Gender : | Female |
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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 |
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Phone Number : | 808-592-3250 |
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Fax Number : | 808-592-3251 |
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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 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 17 Nov, 2008 |
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Last Updated On : | 21 Jul, 2016 |
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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 |
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Medicare Enrollment ID : | I20161013002665 |
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Primary Specialty : | Nephrology |
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Medical School : | University Of Cincinnati College Of Medicine |
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Graduation Year : | 2004 |
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Accepts Medicare? | Yes. Dr. Susan Elizabeth Ingraham accepts medicare insurance. |
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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 ID | No. of Members | Practice Address | Group Accepts Medicare |
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Kapiolani Medical Specialists | 0648183988 | 75 | 1319 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 | Speciality | Primary | License No. | State |
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2080P0210X | Pediatrics Pediatric Nephrology | No | 35-088687 | OH |
2080P0210X | Pediatrics Pediatric Nephrology | Yes | 18713 | HI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Susan Elizabeth Ingraham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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3147866 | MEDICAID | OH | |
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 |
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Phone Number : | 808-592-3250 |
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Fax Number : | 808-592-3251 |
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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.