Healthcare Provider Details

I. General information

NPI: 1780470138
Provider Name (Legal Business Name): HELEN CHUN-HUI SU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OP11, CLINICAL CENTER 10CRC CENTER DR MSC 1456
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

BUILDING 10CRC RM 6-3754, 10CRC CENTER DR MSC 1456
BETHESDA MD
20892-1456
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-4000
  • Fax:
Mailing address:
  • Phone: 301-451-8783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0057510
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberD0057510
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: