Provider Demographics
NPI:1881666410
Name:MENAWAT, SUNIL SWARUP (MD)
Entity type:Individual
Prefix:
First Name:SUNIL
Middle Name:SWARUP
Last Name:MENAWAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 KEMPSVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502
Mailing Address - Country:US
Mailing Address - Phone:757-261-5935
Mailing Address - Fax:757-275-9966
Practice Address - Street 1:850 KEMPSVILLE ROAD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502
Practice Address - Country:US
Practice Address - Phone:757-261-5935
Practice Address - Fax:757-275-9966
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101252700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA-002OtherTRICARE/CHAMPUS
VA1881666410OtherCOVENTRY HEALTH NETWORK
VAPAROtherAETNA
VAPAROtherUSA MANAGED CARE
VA10103567OtherOPTIMA HEALTH
VA1881666410Medicaid
VAPAROtherVIRGINIA HEALTH NETWORK
VA476077OtherANTHEM BC/BS
VA1881666410OtherVIRGINIA PREMIER HEALTH PLAN
VA1881666410OtherUNITED HEALTHCARE
VAPAROtherCIGNA
VAPAROtherCORVEL
NC5921699Medicaid
VAPAROtherMULTIPLAN
VAPAROtherCORVEL
VA1881666410OtherUNITED HEALTHCARE
VA1881666410OtherVIRGINIA PREMIER HEALTH PLAN