Provider Demographics
NPI:1639187545
Name:ARAKAKI, SUE K (MD)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:K
Last Name:ARAKAKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1 BAYWOOD AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402
Mailing Address - Country:US
Mailing Address - Phone:650-348-2111
Mailing Address - Fax:650-348-4135
Practice Address - Street 1:1 BAYWOOD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402
Practice Address - Country:US
Practice Address - Phone:650-348-2111
Practice Address - Fax:650-348-4135
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2020-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG74825207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G748250Medicare ID - Type Unspecified
F74825Medicare UPIN