Individual
DR. MANOJ P MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3241
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00044154
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD00044154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407037278
—
WA
Enumeration date
11/20/2007
Last updated
07/28/2014
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