Individual
DR. JAIVARDHAN AJAKUMAR MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 MASSACHUSETTS AVE FL 6, BOSTON, MA 02118-2605
(617) 414-5951
(617) 414-9251
Mailing address
22 WORTHINGTON ST APT 1, BOSTON, MA 02120-1605
(617) 697-9451
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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