Harbutt, Susana Ines Smith

Harbutt, Susana Ines Smith is an individual health care provider with primary practice located at 20101 Lake Chabot Rd Fl 4 , Castro Valley CA 94546. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Harbutt, Susana Ines Smith can be contacted via phone (510) 204-1844.

Contact Information

Primary practice address
20101 Lake Chabot Rd Fl 4 Castro Valley CA 94546
Phone: (510) 204-1844
Fax: (510) 506-7729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A136741 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A136741 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 92819 Georgia

Profile Details

NPI number 1588007678
LBN Legal business name Harbutt, Susana Ines Smith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2013
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588007678 NPPES
California Other A136741 STATE MEDICAL LICENSE

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