Menon, Mani
Menon, Mani is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Blvd - K9, Detroit MI 48202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Menon, Mani can be contacted via phone (313) 916-2066.Contact Information
Primary practice address
Henry Ford Health System 2799 West Grand Blvd - K9
Detroit MI 48202
Phone: (313) 916-2066
Fax: (313) 916-2086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 071161 | Michigan |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 23293101 | New York |
Profile Details
| NPI number | 1669532537 |
|---|---|
| LBN Legal business name | Menon, Mani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jun 16th, 2021 - about 5 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 | 1669532537 | NPPES |
| Other | 3408257931 | BLUE CROSS-BLUE CROSS | |
| Other | MM071161 | BLUE CROSS-BLUE CROSS | |
| Other | MM071161 | BLUE CROSS-BLUE CROSS | |
| MEDICAID | 338423410 | BLUE CROSS-BLUE CROSS |
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