Individual
SMITHA P MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
45815
MN
207RH0003X
Hematology & Oncology Physician
55258
WI
207RH0003X
Hematology & Oncology Physician
Primary
MD61357298
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487627253
—
WA
05
—
1487627253
—
WI
Enumeration date
02/10/2006
Last updated
11/08/2022
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