Individual
RHIANA SHANTHI MENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1525 S OWYHEE ST, BOISE, ID 83705-6014
(208) 392-3354
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M-13300
ID
2086X0206X
Surgical Oncology Physician
M-13300
ID
Other
Enumeration date
08/25/2008
Last updated
05/04/2023
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