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Individual
MANI MENON
Active
Individual
MANI MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
071161
MI
208800000X
Urology Physician
Primary
23293101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338423410
—
MI
01
—
3408257931
BLUE CROSS-BLUE CROSS
—
01
—
MM071161
CHAMPUS-CHAMPUS
—
Enumeration date
12/11/2006
Last updated
06/16/2021
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