Individual
DR. MRIDULA MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 BLACKSTONE VALLEY PL, SUITE 701, LINCOLN, RI 02865-1179
(401) 333-3111
(401) 334-1217
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11557
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2081156
—
MA
Enumeration date
10/05/2005
Last updated
04/02/2024
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