DoctorLicensePro

Dr. Daniel Susanto, MD

Diagnostic Radiology

NPI: 1144364605 Washington
73/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice12/15

19 years

Data Freshness6/10

Updated 140 days ago

License Status

TexasActive
License #

S8255

Issued

Sep 4, 2020

Expires

Nov 30, 2027

PennsylvaniaActive
License #

MD468157

FloridaActive
License #

141215

Issued

Jun 7, 2019

Expires

Jan 31, 2027

Practice Information

Address
19020 33RD AVE W STE 210
LYNNWOOD, WA 98036
Phone
(425) 563-1500
In Practice Since
February 17, 2007
Data Last Updated
February 11, 2026

NPI Details

NPI Number
1144364605
Status
Active
Taxonomy Code
2085R0202X
Data sourced from CMS NPPES public database. Last verified: February 11, 2026. Report an error