Individual
MINNU SUSAN MONU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6193
(206) 753-5409
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 223-6193
(206) 753-5409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RL14253
ND
207RH0003X
Hematology & Oncology Physician
Primary
MD61563123
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YQA800331900
BLUECROSS BLUESHIELD OF NORTH DAKOTA
ND
Enumeration date
09/05/2016
Last updated
02/19/2025
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