Individual
DR. PREM KUMAR MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
5217 FLANDERS DR, BATON ROUGE, LA 70808-9169
(225) 766-6931
(225) 766-9413
Mailing address
5217 FLANDERS DR, BATON ROUGE, LA 70808-9169
(225) 766-6931
(225) 766-9413
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07041R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1904953
—
LA
Enumeration date
06/14/2005
Last updated
08/23/2010
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