Kenny Susanto is a Tulsa, Oklahoma based neurologist with 12 years of experience in Neurology. He completed his graduation in 2012. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kenny Susanto is 38794 for Neurology in Oklahoma. His current practice location is 2000 S Wheeling Ave Ste 701, Tulsa. Patients can reach him at 918-748-7810. Kenny Susanto is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1255783270. Kenny Susanto specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Kenny Susanto speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kenny Susanto
Specialization:
Neurology
Gender:
Male
Credentials:
MD
Experience:
12+ years
Medical School Attended:
Other
Graduation Year:
2012
Accepts Medicare Assignment:
Yes
Practice Address:
2000 S Wheeling Ave Ste 701, Tulsa, Oklahoma, 74104-5647
Phone:
918-748-7810
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1254758410
Enrollment ID:
I20220815001112
NPI Number:
1255783270
NPI Enumeration Date:
02 Jul, 2016
NPI Last Update On:
27 Jun, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenny Susanto are as mentioned below.
License Number
Specialization
State
Status
38794
Neurology
Oklahoma
Primary
1.065004
Neurology
Connecticut
Secondary
008863
Neurology
Georgia
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kenny Susanto is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St John Physicians Inc (2567366495)
234
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kenny Susanto 2000 S Wheeling Ave Ste 701, Tulsa, Oklahoma
Zip:
74104-5647
Patients can reach Kenny Susanto at 2000 S Wheeling Ave Ste 701, Tulsa, Oklahoma or can call to book an appointment on 918-748-7810.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.