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General NPI Number Information
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NPI Number | 1093031684
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Entity Type | Individual
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Provider Name | NICHOLAS C MONU MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 3949 BROWNING PL
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City | RALEIGH
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State | NC
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Zip | 27609-6536
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Country | US
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Telephone | 919-787-7411
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Fax | 919-789-4461
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Provider Business Mailing Address
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Address Line | KAISER PERMANENTE 700 2ND ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002
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Country | US
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Telephone | 202-346-3000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2016-00441
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License Number State | NC
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