Dr SUSANTI R IE is a female medical professional, specializing in Pulmonary Disease. She graduated in 1993 from Tulane University School Of Medicine.
CARILION MEDICAL CENTER
1906 BELLEVIEW AVE SE
ROANOKE
VA
240141838
Tel: 5409817000
| Npi | 1215910781 |
| Pac Id | 4486718459 |
| Professional Enrollment Id | I20090205000704 |
| Last Name | IE |
| First Name | SUSANTI |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | CARILION MEDICAL CENTER |
| Group Practice Pac Id | 9830096585 |
| Number Of Group Practice Members | 612 |
| Line 1 Street Address | 1906 BELLEVIEW AVE SE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ROANOKE |
| State | VA |
| Zip Code | 240141838 |
| Phone Number | 5409817000 |
| Hospital Affiliation Ccn 1 | 490024 |
| Hospital Affiliation Lbn 1 | CARILION MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 490042 |
| Hospital Affiliation Lbn 2 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 490089 |
| Hospital Affiliation Lbn 3 | CARILION FRANKLIN MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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