Menon, Suresh K

Menon, Suresh K is an individual health care provider with primary practice located at 1000 Tavern Rd Suite 400, Martinsburg WV 25401-2845. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Menon, Suresh K can be contacted via phone (304) 350-8733.

Contact Information

Primary practice address
1000 Tavern Rd Suite 400 Martinsburg WV 25401-2845
Fax: (304) 350-8655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D55793 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D55793 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23521 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0055793 Maryland
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 23521 West Virginia

Profile Details

NPI number 1811956311
LBN Legal business name Menon, Suresh K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jun 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811956311 NPPES
West Virginia Other P01520669 RAILROAD MEDICARE
West Virginia MEDICAID 1811956311 RAILROAD MEDICARE
West Virginia MEDICAID 404724900 RAILROAD MEDICARE
West Virginia Other P00110702 RAILROAD MEDICARE
West Virginia Other 61692304 RAILROAD MEDICARE

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