Provider Demographics
NPI:1659555167
Name:SUZUKI, AYAKO (MD, PHD, MSC)
Entity Type:Individual
Prefix:DR
First Name:AYAKO
Middle Name:
Last Name:SUZUKI
Suffix:
Gender:F
Credentials:MD, PHD, MSC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 TRENT DR DUKE UNIVERSITY MEDICAL CTR
Mailing Address - Street 2:DUKE SOUTH, ORANGE ZONE, #0340
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-668-8891
Mailing Address - Fax:919-681-8147
Practice Address - Street 1:200 TRENT DR DUKE UNIVERSITY MEDICAL CTR
Practice Address - Street 2:DUKE SOUTH, ORANGE ZONE, #0340
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-668-8891
Practice Address - Fax:919-681-8147
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
1744R1102X
NC2009-01827207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No1744R1102XOther Service ProvidersSpecialistResearch Study
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1659555167OtherTRICADE
NC30805584OtherDRIVER'S LICENCE NUMBER
SC1659555167Medicaid
VA1659555167Medicaid
NC5918858Medicaid