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Individual
SHINA MENON
Active
Individual
SHINA MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C191858
CA
2080P0210X
Pediatric Nephrology Physician
Primary
C191858
CA
2080P0210X
Pediatric Nephrology Physician
MD60658315
WA
Other
Enumeration date
06/12/2007
Last updated
03/27/2024
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