Provider Demographics
NPI:1790451748
Name:ROBIE-SUH, KATHY MARLINE (MD)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:MARLINE
Last Name:ROBIE-SUH
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 1:6333 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1008
Mailing Address - Country:US
Mailing Address - Phone:443-676-3282
Mailing Address - Fax:
Practice Address - Street 1:6333 BEECHWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1008
Practice Address - Country:US
Practice Address - Phone:443-676-3282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable