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Individual
DR. SHREEVIDYA V MENON
Active
Individual
DR. SHREEVIDYA V MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
02007501A
IN
208000000X
Pediatrics Physician
Primary
036128055
IL
208M00000X
Hospitalist Physician
02007501A
IN
208M00000X
Hospitalist Physician
036128055
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036128055
036128055
IL
05
—
300082365
—
IN
05
—
7100940370
—
KY
Enumeration date
03/27/2010
Last updated
10/09/2025
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