Provider Demographics
NPI:1679373880
Name:SUO, MENGCHEN (MBBS)
Entity type:Individual
Prefix:DR
First Name:MENGCHEN
Middle Name:
Last Name:SUO
Suffix:
Gender:
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 205, 108 TERRACE ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST PERTH
Mailing Address - State:WESTERN AUSTRALIA
Mailing Address - Zip Code:06004
Mailing Address - Country:AU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:THE JOHNS HOPKINS HOSPITAL
Practice Address - Street 2:600 N WOLFE ST
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-9313
Practice Address - Fax:410-614-1746
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program