Individual
SUMAN MADANLAL WASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-7521
(336) 716-4151
(336) 716-0524
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(367) 164-1513
(336) 716-0524
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019-01868
NC
207RC0000X
Cardiovascular Disease Physician
2019-01868
NC
2086S0129X
Vascular Surgery Physician
Primary
2019-01868
NC
Other
Enumeration date
03/15/2006
Last updated
08/08/2025
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