Individual
SUNEETHA REEDY KALATHOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-7359
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-7359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9500377
NC
207RI0200X
Infectious Disease Physician
Primary
9500377
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200G
BCBS
—
05
—
1306818356
—
VA
01
—
193352
MEDCOST
—
01
—
28630
PARTNERS
—
05
—
3810008634
—
WV
01
—
5014528
AETNA
—
05
—
891200G
—
NC
05
—
Q0037H
—
SC
Enumeration date
02/03/2006
Last updated
03/07/2023
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