Individual
DR. VIVEK MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 GASLIGHT BLVD, LUFKIN, TX 75904-3133
(936) 632-8787
Mailing address
9500 EUCLID AVE, MAIL CODE: M75, CLEVELAND, OH 44195-0001
(216) 636-7563
(216) 636-5390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56984587
GA
207RC0000X
Cardiovascular Disease Physician
U5166
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
U5166
TX
Other
Enumeration date
03/28/2012
Last updated
05/21/2025
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