Provider Demographics
NPI:1821017286
Name:SAMPANG, SUZANNE J (MD)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:J
Last Name:SAMPANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:ML 6015
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-636-0800
Mailing Address - Fax:513-636-0823
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:ML 6015
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3039
Practice Address - Country:US
Practice Address - Phone:513-636-0800
Practice Address - Fax:513-636-0823
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH350789992084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry