Individual
DR. SUMA MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2010-01501
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013235464
TRICARE
NC
05
—
1013235464
—
NC
01
—
P01328251
RR MEDICARE
NC
Enumeration date
05/10/2010
Last updated
09/27/2017
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