| Ulrike Sujansky MD Inc | |
|
34 N San Mateo Dr Ste 1 San Mateo CA 94401-2824 | |
| (650) 393-5851 | |
| (650) 393-5871 |
| Full Name | Ulrike Sujansky MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 34 N San Mateo Dr Ste 1, San Mateo, California |
| Authorized Official Name and Position | Ulrike Sujansky (OWNER) |
| Authorized Official Contact | 6503935851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ulrike Sujansky MD Inc 34 N San Mateo Dr Ste 1 San Mateo CA 94401-2824 Ph: (650) 393-5851 | Ulrike Sujansky MD Inc 34 N San Mateo Dr Ste 1 San Mateo CA 94401-2824 Ph: (650) 393-5851 |
| NPI Number | 1588510069 |
|---|---|
| Provider Enumeration Date | 03/07/2026 |
| Last Update Date | 03/31/2026 |
| Certification Date | 03/31/2026 |
| Medicare PECOS PAC ID | 5799252342 |
|---|---|
| Medicare Enrollment ID | O20260430003497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588510069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Ulrike D Sujansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700993177 PECOS PAC ID: 0345334348 Enrollment ID: I20070921000291 |
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