Individual ProviderSuma Ramesh GopalInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address190 Kimel Park Dr, Winston Salem, NC 27103-6946(336) 768-3296(336) 785-9855PECOS EnrollmentBased on the most recent information from CMS, provider Suma Ramesh Gopal does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1588624464Provider TypeIndividualFull NameGopal, Suma RameshTitleDr.CredentialM.D.GenderFemaleEnumeration Date3/24/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address190 Kimel Park Dr, Winston Salem, NC 27103-6946Phone(336) 768-3296Fax(336) 794-8668Mailing LocationMailing Address149 Stone Moss Ln, Winston Salem, NC 27127-6806Phone(336) 785-9855FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME87706Florida