William Su, MD is a
Student In An Organized Health Care Education/training Program physician based in Philadelphia, Pennsylvania. William Su is licensed to practice in * (Not Available) (license number ) and his current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(212) 662-2725.
NPI number for William Su is 1114487873 and his current mailing address is 3400 Spruce St, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114487873.
Physician's Profile
Full Name | William Su |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3400 Spruce St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114487873
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 03/04/2024
Medical Identifiers
Medical identifiers for William Su such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114487873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 2024-00370 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Su is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
William Su, MD 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: () - | William Su, MD 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (212) 662-2725 |
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