Individual
DR. SUDEEP JOSEPH MENACHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 EMPIRE COURT, FREDERICKSBURG, VA 22408
(540) 371-0079
(540) 371-4254
Mailing address
4501 EMPIRE COURT, FREDERICKSBURG, VA 22408
(540) 371-0079
(540) 371-4254
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101233614
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356371157
—
VA
Enumeration date
07/04/2006
Last updated
07/21/2023
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