Individual
PRAHARSHA RAVINDRANATHA MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2084 HEADLAND DR, JENCARE NEIGHBORHOOD MEDICAL CENTER EAST POINT, LLC, EAST POINT, GA 30344-2135
(404) 965-5691
(404) 965-5710
Mailing address
2084 HEADLAND DR, JENCARE NEIGHBORHOOD MEDICAL CENTER EASY POINT, LLC, EAST POINT, GA 30344-2135
(404) 965-5691
(404) 965-5710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
066627
GA
Other
Enumeration date
06/19/2008
Last updated
08/10/2015
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