Individual
MADHU PARAMESWAR MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, PATHOLOGY K-6, DETROIT, MI 48202-2608
(313) 916-2042
Mailing address
43133 COVESIDE CIR, APT. 1713, NOVI, MI 48375-3273
(207) 344-8555
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
12066641-1205
UT
207ZH0000X
Hematology (Pathology) Physician
4301103351
MI
207ZI0100X
Immunopathology Physician
4301103351
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301103351
MI
Other
Enumeration date
05/10/2007
Last updated
11/29/2021
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