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
Phone: (541) 994-3661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720424476 | NPPES |
| Washington | MEDICAID | 1720424476 | |
| Washington | Other | P01713934 |
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