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Individual

DR. SHARAD PARAKKAL MENON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1784
(602) 933-1785
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200200957
NC
208000000X
Pediatrics Physician
35241
AZ
208000000X
Pediatrics Physician
V4838
TX
2080P0202X
Pediatric Cardiology Physician
35241
AZ
2080P0202X
Pediatric Cardiology Physician
V4838
TX
2080P0203X
Pediatric Critical Care Medicine Physician
35241
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD2021-0925
NM
2080P0203X
Pediatric Critical Care Medicine Physician
V4838
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124706
AZ
05
89135NY
NC
Enumeration date
05/23/2006
Last updated
12/03/2024
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