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
Phone: (304) 350-8733
Fax: (304) 350-8655
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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