Provider Demographics
NPI:1760924542
Name:LEITMAN, SUSAN FLORA (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:FLORA
Last Name:LEITMAN
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:NATIONAL INSTITUTES OF HEALTH CLINICAL CTR
Mailing Address - Street 2:BUILDING 10, ROOM 1N-243
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-594-1193
Mailing Address - Fax:
Practice Address - Street 1:NATIONAL INSTITUTES OF HEALTH CLINICAL CTR
Practice Address - Street 2:BUILDING 10, ROOM 1N-243
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-594-1193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021852E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology