| Dr Susannah Chamie Kussmaul, MD | |
|
300 Pasteur Dr, Sumc - Pediatrics Physician Billing, Mc:5530, Stanford, CA 94305-2200 | |
| (650) 498-7391 | |
| (650) 725-7888 |
| Full Name | Dr Susannah Chamie Kussmaul |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 300 Pasteur Dr, Stanford, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316077001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A98826 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susannah Chamie Kussmaul, MD 300 Pasteur Dr, Sumc - Pediatrics Physician Billing, Mc:5530, Stanford, CA 94305-2200 Ph: (650) 498-7391 | Dr Susannah Chamie Kussmaul, MD 300 Pasteur Dr, Sumc - Pediatrics Physician Billing, Mc:5530, Stanford, CA 94305-2200 Ph: (650) 498-7391 |
Kathryn Gopez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-7103 | |
Dr. Kathleen Gutierrez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-5682 Fax: 650-725-8040 | |
Reem Itani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Brittany Rae Boswell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Paden Danielle Angelo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Sravanthi Puranam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Angela S. Feng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |