Suzanne Kim Doud Galli, M.D., PH.D.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

0101235229 Issued in VA

Practice address

1860 Town Center Dr
Suite 260
Reston, VA 20190-5896

Phone

(703) 787-0199

Fax

(703) 787-0530

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairfax ENT & Facial Plastic Surgery, PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Falls Church, VA
  • NPI 1720259054
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598823718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 260",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-787-0199",
            "fax_number": "703-787-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 260",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-787-0199",
            "fax_number": "703-787-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUD GALLI",
        "first_name": "SUZANNE",
        "middle_name": "KIM",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "VA",
            "license": "0101235229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul C Domson, MD
• Dong-Soo Hong DMD PLLC
• Sarah J Donovan, PA-C
• Betty Schnur Donskoy, MD
• Joette Dorosheff, CRNA
• Charles Dougherty
• Michele Dougherty, MS, OTR/L
• Macaya Julie Douoguih, M.D.
• Brittney Douress
• Sarah Downer, NP-BC

• Facial Plastic Surgery Physician in Reston, VA
• Providers in Reston, VA by specialty
• Facial Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.