Ohoro, Susan Kiernan

Ohoro, Susan Kiernan is an individual health care provider with primary practice located at 8375 Dix Ellis Trl Ste 201 , Jacksonville FL 32256-8241. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Ohoro, Susan Kiernan can be contacted via phone (904) 399-5550.

Contact Information

Primary practice address
8375 Dix Ellis Trl Ste 201 Jacksonville FL 32256-8241
Phone: (904) 399-5550
Fax: (904) 346-4334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 221036 Massachusetts
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 73511 Connecticut
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 93575 Georgia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 036162392 Illinois
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 32001 West Virginia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01088585S Indiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 57545 Kentucky
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 22985 Nevada
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD2022-1387 New Mexico
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 319318 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 35.146692 Ohio
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 89080 South Carolina
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X U0168 Texas
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 221036 Massachusetts
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME160068 Florida

Profile Details

NPI number 1114903408
LBN Legal business name Ohoro, Susan Kiernan
Credentials MD, MPH, FSIR
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
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 1114903408 NPPES
Massachusetts Other 469827 TUFTS HEALTH CARE
Massachusetts MEDICAID 2084074 TUFTS HEALTH CARE
Massachusetts Other T28128 TUFTS HEALTH CARE

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