Su, Amanda

Su, Amanda is an sole proprietor health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Su, Amanda can be contacted via phone (313) 916-8632.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (313) 916-8632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301511164 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301511164 Michigan

Profile Details

NPI number 1306334131
LBN Legal business name Su, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2018
Last updated Jan 13th, 2025 - about last year

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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