Provider Demographics
NPI:1447493580
Name:TERPENNING, SILANATH (MD)
Entity type:Individual
Prefix:DR
First Name:SILANATH
Middle Name:
Last Name:TERPENNING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SILANATH
Other - Middle Name:
Other - Last Name:PEUNGJESADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-7243
Mailing Address - Fax:336-713-5212
Practice Address - Street 1:MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-6124
Practice Address - Fax:336-716-5212
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA790762085R0202X
NMMD2014-06902085R0202X
TXM89162085R0202X
MIL12167992085R0202X
MDD00760422085R0202X
NC2021-009682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201061560Medicaid
INP01211868OtherRAILROAD MEDICARE
IN201061560Medicaid