Individual
SHREEVINAYA MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2310 ERWIN RD, DURHAM, NC 27710-1005
(919) 954-3965
Mailing address
2310 ERWIN RD, DURHAM, NC 27710-0001
(919) 954-3965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017-00773
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/06/2010
Last updated
04/17/2024
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