Provider Demographics
NPI:1902848005
Name:COMBS, SUZANNE B (MD)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:B
Last Name:COMBS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:317-962-4836
Mailing Address - Fax:317-962-4996
Practice Address - Street 1:1701 N SENATE BLVD
Practice Address - Street 2:ER DEPT
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1239
Practice Address - Country:US
Practice Address - Phone:317-962-8880
Practice Address - Fax:317-962-7086
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2009-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01027748207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100378820Medicaid
IN897770EMedicare PIN
INE06465Medicare UPIN