Individual
DR. SIHAM MUNTASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
791 JONESTOWN RD, DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL MEDICINE, WINSTON SALEM, NC 27103-1252
(304) 282-2359
Mailing address
791 JONESTOWN RD, WINSTON SALEM, NC 27103-1252
(304) 282-2359
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
21382
WV
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2012-02425
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003675
—
WV
05
—
5922640
—
NC
Enumeration date
02/20/2006
Last updated
06/11/2013
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