Individual ProviderSusan SadoughiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address75 Francis Street, Brigham Internal Medicine Associates, Boston, MA 02115(617) 732-8200(857) 307-0896PECOS EnrollmentBased on the most recent information from CMS, provider Susan Sadoughi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1174536353Provider TypeIndividualFull NameSadoughi, SusanCredentialMDGenderFemaleSole ProprietorNoEnumeration Date8/15/2006Last Updated6/18/2012Contact InformationPractice LocationPractice Address75 Francis Street, Brigham Internal Medicine Associates, Boston, MA 02115Phone(617) 732-8200FaxUnlisted FaxMailing LocationMailing Address111 Cypress St, Brigham And Womens Physicians Organization, Brookline, MA 02445Phone(857) 307-0896FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense81612Massachusetts