Shoba Menon in Wading River - Internal Medicine

Shoba Menon - NPI 1154481539

Shoba Menon is a Internal Medicine in Wading River, New York. Shoba Menon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shoba Menon is 1154481539. The last update date is 2011-07-19.

Shoba Menon's current location address is 1866 Wading River Manor Rd, Wading River, New York. You can contact this provider via phone number 6319298787 and fax number 6319290350. The mailing address for Shoba Menon is 1866 Wading River Manor Rd, Wading River, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Shoba Menon
Address 1866 Wading River Manor Rd, Wading River, New York
Phone Number 6319298787
Fax Number 6319290350
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1154481539
Provider Enumeration Date 2006-12-08
Last Updated Date 2011-07-19

Provider Mailing Address Detail

Address 1866 Wading River Manor Rd
City Wading River
State New York (NY)
Post Code 117922137
Phone Number 6319298787
Fax Number 6319290350

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 2308051
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5536793 CIGNA
9398762 PHCS
2504648 UHC
EP2144629 VYTRA
MS0805 ATLANTIS
230805 HIP
HB2144626 VYTRA
RH2144630 VYTRA
364487963 MAGNACARE
364487963 DEVON

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FAQs about Shoba Menon

What is the unique 10-digit identifier code issued to Shoba Menon by the Centers for Medicare & Medicaid Services?

The Shoba Menon has been assigned the NPI (National Provider Identifier) 1154481539 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Shoba Menon is physically located?

The Shoba Menon is situated at the following address: 1866 Wading River Manor Rd, Wading River, NY 117922137.

What is Shoba Menon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shoba Menon's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

When was the Shoba Menon's 1154481539 issued?

The Shoba Menon's 1154481539 was issued on 2006-12-08.

When was the information regarding Shoba Menon most recently updated?

The details pertaining to the Shoba Menon, including its address, specialty, and other relevant information, were last refreshed on 2011-07-19.

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