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DR. SUSAN ELIZABETH INGRAHAM MD PHD NPI 1841445921


NPI Information

NPI: 1841445921
Provider Name: DR. SUSAN ELIZABETH INGRAHAM, MD, PHD
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

Organization: KAPIOLANI MEDICAL SPECIALISTS

PECOS Registration: Yes

Address:
1314 S KING ST
SUITE 415
HONOLULU, HI
ZIP 96814
Phone: (808) 592-3250
Get Directions

DR. Susan Elizabeth Ingraham, MD, PHD is a pediatric nephrology pediatrics in Honolulu, HI with 20 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. DR. Susan Elizabeth Ingraham, MD, PHD NPI is 1841445921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2004

The provider's business location address is:

1314 S KING ST
SUITE 415
HONOLULU, HI
ZIP 96814-956
Phone: (808) 592-3250
Fax: (808) 592-3251

The NPI 1841445921 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2008 and was last updated on 7/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0210XPediatricsPediatric Nephrology35-088687OHIONo
22080P0210XPediatricsPediatric Nephrology18713HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13147866MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.