Provider Demographics
NPI:1609959956
Name:HOWELL, SUZANNE WHITE (MD)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:WHITE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BEVERLY
Other - Middle Name:SUZANNE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4211 FAIRFAX CORNER EAST AVENUE
Mailing Address - Street 2:SUITE #225
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030
Mailing Address - Country:US
Mailing Address - Phone:703-502-4500
Mailing Address - Fax:703-502-4518
Practice Address - Street 1:4211 FAIRFAX CORNER EAST AVENUE
Practice Address - Street 2:SUITE #225
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:703-502-4500
Practice Address - Fax:703-502-4518
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101227854208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics