| Doctor Name: | DR. SUSANNA V. ULAHANNAN |
| NPI Number: | 1033369988 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 30484EFF |
| Business Practice Address: | 609 Virginia Ave Ponca City, OK - 746012911 |
| Business Phone Number: | 5807671300 |
| Business Fax Number: | 5807654529 |
| Mailing Address: | 609 Virginia Ave, PONCA CITY |
| State: | OK |
| Postal Code: | 746012911 |
| Phone Number: | 5807671300 |
| Fax Number: | 5807654529 |
| NPI Enumeration Date: | 09/29/2008 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0000X |
| License Number: | 30484EFF |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology |
| Taxonomy Definition: | An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |