Provider Demographics
NPI:1679629000
Name:AHMARI, SUSANNE ELIZABETH (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSANNE
Middle Name:ELIZABETH
Last Name:AHMARI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 TECHNOLOGY DR
Mailing Address - Street 2:ROOM 227
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-3143
Mailing Address - Country:US
Mailing Address - Phone:412-624-3183
Mailing Address - Fax:
Practice Address - Street 1:450 TECHNOLOGY DR
Practice Address - Street 2:ROOM 227
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3143
Practice Address - Country:US
Practice Address - Phone:412-624-3183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2345982084P0800X
PAMD4500072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry