Individual
DR. CYNTHIA C SU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1788 REPUBLIC RD, STE 200, VIRGINIA BEACH, VA 23454-4552
(757) 422-2966
(757) 422-4563
Mailing address
1788 REPUBLIC RD, STE 200, VIRGINIA BEACH, VA 23454-4552
(757) 422-2966
(757) 422-4563
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101840416
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001309
UNITED HEALTH CARE
—
01
—
23115888
TRICARE
—
01
—
259888
BLUE CROSS BLUE SHIELD
VA
01
—
62840
SENTARA/ OPTIMA
VA
05
—
890501L
—
NC
Enumeration date
06/21/2006
Last updated
07/08/2007
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