Provider Demographics
NPI:1477524825
Name:WINSTEAD, SAUNDRA E (MD)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:E
Last Name:WINSTEAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 GRANBY ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-1421
Mailing Address - Country:US
Mailing Address - Phone:757-533-9108
Mailing Address - Fax:757-622-6384
Practice Address - Street 1:3415 GRANBY ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-1421
Practice Address - Country:US
Practice Address - Phone:757-533-9108
Practice Address - Fax:757-622-6384
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049994207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G21817Medicare UPIN
VA009842P57Medicare PIN