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Dr. Susanti Rahaju Ie, MD
Pulmonary Disease Physician in Roanoke, Virginia
NPI 1215910781

Susanti Rahaju Ie is a Pulmonary Disease Physician based in Roanoke, VA and is specialized in Pulmonary Disease. Susanti Rahaju Ie practices in Roanoke, VA and has the professional credentials of MD. The NPI Number for Susanti Rahaju Ie is 1215910781 and holds a License No. 050640 (Virginia).

The current practice location address for Susanti Rahaju Ie is 2001 Crystal Spring Ave Sw, Roanoke, VA and can be reached out via phone at 540-985-8505.

Location: 2001 Crystal Spring Ave Sw, Roanoke, VA, 24014-2462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215910781
Provider Name
Susanti Rahaju Ie
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2001 Crystal Spring Ave Sw, Roanoke, VA, 24014-2462
Phone Number
540-985-8505
Fax Number
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00927616A 05 GA
5791203 01 GHI
874218 01 GA BLUE CROSS BLUE SHIELD
4800175 01 UNITED HEALTHCARE
290014160 01 GA RAILROAD MEDICARE
0932200001 01 GA WORKERS COMPENSATION
1944925001 01 CIGNA
7024155 01 AETNA
institution
Provider Business Practice Location Address Details
Address
2001 Crystal Spring Ave Sw
City
Roanoke
State
Virginia
Zip
24014-2462
Phone Number
540-985-8505
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Crystal Spring Ave Sw
City
Roanoke
State
Virginia
Zip
24014-2462
Phone Number
540-985-8505
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
050640 (Georgia)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
050640 (Georgia)
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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