Organization Active NPI

Susahealth LLC

  • Neurology Physician
  • Washington, DC
National Provider Identifier
1063051951
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SUSAHEALTH LLC
Practice address
1666 Connecticut Ave NW
Washington, DC 20009-1039
Phone
(202) 902-9004
NPI assigned
Dec 26, 2019
Last updated
May 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shahnaz Miri, MDNPI 1043605397
Title
Dr.
Phone
(347) 652-6248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1666 Connecticut Ave NW
Washington, DC 20009-1039

Mailing address

5406 Connecticut Ave NW Apt 705
Washington, DC 20015-2855
Phone (347) 652-6248

Other names 1

  • Telehealth Associates Other name

National Provider Directory

National Provider Directory

Locations

1666 Connecticut Ave NW
Washington, DC 20009
Phone (202) 902-9004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590796800000",
    "number": "1063051951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 CONNECTICUT AVE NW APT 705",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152855",
            "telephone_number": "347-652-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 CONNECTICUT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091039",
            "telephone_number": "202-902-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A",
        "authorized_official_last_name": "MIRI",
        "authorized_official_first_name": "SHAHNAZ",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "347-652-6248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telehealth Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.