DR. SUMAN DEEP MATIANA


Address: 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500
Phone: 5716062628

DR. SUMAN DEEP MATIANA (NPI# 1053755298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053755298
Entity Type Individual
Full Name DR. SUMAN DEEP MATIANA
Credential M.D.
Practice Address 1314 Peters Creek Rd Nw
Roanoke
VA 24017-2500
Practice Telephone 5716062628
Mailing Telephone 5716062628
Enumeration Date 2013-04-18
Last Update Date 2013-04-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1314 PETERS CREEK RD NW
City ROANOKE
State VA
Zip Code 24017-2500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275532921 David S. Gregory Family Medicine 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2005-07-15
1891181228 Briana Mary Beach Family Medicine 1314 Peters Creek Rd Nw, Roanoke, VA 24017 2015-04-13
1134538663 Laura Daniels Psychologist 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2014-08-08
1881031839 Kristin Anne Liebrecht Family Medicine 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2013-05-31
1447590641 Nicole D. Kemp Nurse Practitioner 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2013-02-25
1891054938 Sean Pham Student in an Organized Health Care Education/Training Program 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2012-05-09
1386901932 Ariel Capili Family Medicine 1314 Peters Creek Rd Nw, Roanoke, VA 24017 2012-04-20
1447538368 Eugene A. Bondarev Student in an Organized Health Care Education/Training Program 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2011-07-26
1700177078 Niranjana Cohen Student in an Organized Health Care Education/Training Program 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2011-04-21
1851611834 Phillip Micheal Hobbs Family Medicine 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 2010-06-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083132450 Kuumba Community Health & Wellness Center, Inc. Pharmacy 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 2017-09-06
1467880484 Mitzi Cotton Social Worker 2021 Dansbury Drive, Roanoke, VA 24017 2013-10-30
1598002818 Stacey Queen Graham Occupational Therapist 4550 Shenadoah Ave, Roanoke, VA 24017 2013-01-07
1366760506 Tammy L Tomlinson Physical Therapist 4550 Shenandoah Avenue, Virginia Veterans Care Center, Roanoke, VA 24017 2010-05-12
1588817712 Delphine Anita Childress Registered Nurse 2111 Temple Drive Nw, Roanoke, VA 24017 2008-10-31
1447471933 Cathy Lucas Physical Therapy Assistant 4550 Shenandoah Ave, Roanoke, VA 24017 2007-05-01
1134214968 Planned Parenthood South Atlantic Clinic/Center 2207 Peters Creek Rd Nw, Roanoke, VA 24017 2006-10-04
1871684902 Janet Susan Sprouse Counselor 1301 Peters Creek Rd Nw, Roanoke, VA 24017 2006-09-27
1497764906 B Alison Allsbrook Social Worker 3716 Melrose Avenue, Nw, Roanoke, VA 24017 2006-08-05
1427027341 Goodwill Industries of The Valleys - Roanoke Day Training, Developmentally Disabled Services 2502 Melrose Avenue Nw, Roanoke, VA 24017 2006-03-14
Find all providers in zip 24017

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598382780 Thomas James Tronstad Student in an Organized Health Care Education/Training Program 5009 Oakleigh Ave Sw, Roanoke, VA 24018-1611 2020-07-03
1326662131 Kara Marie Williams Student in an Organized Health Care Education/Training Program 16 Old Woods Ave Se Apt 333, Roanoke, VA 24016-1431 2020-06-08
1720617970 Mounica Reddy Thootkur Student in an Organized Health Care Education/Training Program 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 2020-04-08
1134758329 Davis Andrew Sugar Student in an Organized Health Care Education/Training Program 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 2020-04-08
1326675422 Bharath Muppala Student in an Organized Health Care Education/Training Program Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 2020-03-26
1790310837 Amit Piple Student in an Organized Health Care Education/Training Program 2530 Rosalind Ave Sw, Roanoke, VA 24014-2326 2020-03-09
1629608138 Jessica Lynn Jacobs Student in an Organized Health Care Education/Training Program 360 Fincher Rd, Roanoke, AL 36274-2632 2020-01-23
1548809429 Violet Gelowani Student in an Organized Health Care Education/Training Program 1406 3rd St Sw Apt 5, Roanoke, VA 24016-5249 2019-12-25
1275171241 Kayla Brett Pulley Student in an Organized Health Care Education/Training Program 327 Campbell Ave Sw Apt 107, Roanoke, VA 24016-3653 2019-12-20
1831754175 Kevin Charles Duffy Student in an Organized Health Care Education/Training Program 16 Old Whitmore Ave Se Apt 414, Roanoke, VA 24016-1236 2019-05-02
Find all providers in ROANOKE

Competitor

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City ROANOKE
Zip Code 24017

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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