Menon, Shoba

Menon, Shoba is an sole proprietor health care provider with primary practice located at 1866 Wading River Manor Rd , Wading River NY 11792-2137. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Menon, Shoba can be contacted via phone (631) 929-8787.

Contact Information

Primary practice address
1866 Wading River Manor Rd Wading River NY 11792-2137
Phone: (631) 929-8787
Fax: (631) 929-0350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2308051 New York

Profile Details

NPI number 1154481539
LBN Legal business name Menon, Shoba
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Jul 19th, 2011 - about 15 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 1154481539 NPPES
Other 5536793 CIGNA
Other 9398762 CIGNA
Other 2504648 CIGNA
Other EP2144629 CIGNA
Other MS0805 CIGNA
Other 230805 CIGNA
Other HB2144626 CIGNA
Other RH2144630 CIGNA
Other 364487963 CIGNA
Other 364487963 CIGNA
Other 136728 CIGNA
Other 364487963 CIGNA
Other 5607709 CIGNA
Other 364487963 CIGNA
Other NY230805 CIGNA

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