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Individual

KOZHIKODE VEETIL NARAYANAN MENON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.B., B.S.

Contact information

Practice address
1001 E 21ST ST, SUITE 303, SIOUX FALLS, SD 57105-1033
(605) 322-8535
(605) 322-8536
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-8535
(605) 322-8536

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
43331
MN
207RI0008X
Hepatology Physician
Primary
7010
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025567100
NE
01
1134191869
ARAZ/AMERICA'S PPO
05
1134191869
IA
01
253800
MIDLANDS CHOICE
SD
01
2900749
MEDICA
SD
01
4992979
BLUE CROSS
SD
01
57105N004
WPS TRICARE
SD
05
6631900
SD
01
7010
DAKOTACARE
SD
05
751117500
MN
01
8G872ME
CC SYSTEMS/ BLUE PLUS
MN
01
C70501051883
PREFERRED ONE
SD
01
HP31651
HEALTHPARTNERS
SD
Enumeration date
02/06/2006
Last updated
12/26/2008
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