Sutanto, Heidi B

Sutanto, Heidi B is an individual health care provider with primary practice located at 9300 Dewitt Loop Oaks Pavilion, 1St Floor, Fort Belvoir VA 22060. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Sutanto, Heidi B can be contacted via phone (571) 231-3110.

Contact Information

Primary practice address
9300 Dewitt Loop Oaks Pavilion, 1St Floor Fort Belvoir VA 22060
Phone: (571) 231-3110
Fax: (571) 231-6697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40828 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40828 Arizona

Profile Details

NPI number 1457563199
LBN Legal business name Sutanto, Heidi B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jan 30th, 2019 - about 7 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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