Individual
PADMAN A MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1157 FIRST COLONIAL RD STE 300, VIRGINIA BEACH, VA 23454-2432
(757) 333-8001
(757) 333-8002
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101022994
VA
207N00000X
Dermatology Physician
200301017
NC
207ND0101X
MOHS-Micrographic Surgery Physician
0101022994
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010109868
—
VA
01
—
013XM
NC GRP # BCBS
NC
01
—
135YU
INDIVIDUAL NC BCBS
NC
01
—
2003292
NC MEDICARE GRP #
NC
05
—
89013XM
—
NC
05
—
89135YU
—
NC
01
—
C04588
MEDICARE GROUP NUMBER
VA
Enumeration date
08/31/2006
Last updated
02/11/2022
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