Provider Demographics
NPI:1003099821
Name:HUNT, SUSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UWMC DEPARTMENT OF MEDICINE
Mailing Address - Street 2:BOX 356429
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6429
Mailing Address - Country:US
Mailing Address - Phone:206-221-7993
Mailing Address - Fax:206-221-8732
Practice Address - Street 1:UWMC DEPARTMENT OF MEDICINE
Practice Address - Street 2:BOX 356429
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6429
Practice Address - Country:US
Practice Address - Phone:206-221-7993
Practice Address - Fax:206-221-8732
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-15
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRTL 122324207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics