Manchezhathu Rajagopalamenon, Rejeesh Menon

Manchezhathu Rajagopalamenon, Rejeesh Menon is an individual health care provider with primary practice located at 3043 Ne 28Th St , Lincoln City OR 97367-4518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Manchezhathu Rajagopalamenon, Rejeesh Menon can be contacted via phone (541) 994-3661.

Contact Information

Primary practice address
3043 Ne 28Th St Lincoln City OR 97367-4518
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60611570 Washington
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD60611570 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD214390 Oregon

Profile Details

NPI number 1720424476
LBN Legal business name Manchezhathu Rajagopalamenon, Rejeesh Menon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated Sep 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720424476 NPPES
Washington MEDICAID 1720424476
Washington Other P01713934

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