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Individual
SHOBA MENON
Active
Individual
SHOBA MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2308051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136728
ANTHEM
—
01
—
230805
HIP
—
01
—
2504648
UHC
—
01
—
364487963
MAGNACARE
—
01
—
5536793
CIGNA
—
01
—
5607709
FIRST HEALTH
—
01
—
9398762
PHCS
—
01
—
EP2144629
VYTRA
—
01
—
HB2144626
VYTRA
—
01
—
MS0805
ATLANTIS
—
01
—
NY230805
1199
—
01
—
RH2144630
VYTRA
—
Enumeration date
12/08/2006
Last updated
07/19/2011
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