Individual
PRIYA P MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 HOSPITAL LN, SUITE 205, DANVILLE, IN 46122-1989
(317) 745-7445
(317) 745-7449
Mailing address
1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5571
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01062716A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01062716A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200904550
—
IN
Enumeration date
10/01/2006
Last updated
03/08/2021
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