Individual
DR. VANI SUNDARAM MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 BARBARA JORDAN BLVD, STE 302, AUSTIN, TX 78723-3077
(512) 472-6134
(512) 472-2928
Mailing address
1301 BARBARA JORDAN BLVD, STE 302, AUSTIN, TX 78723-3077
(512) 472-6134
(512) 472-2928
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Q8958
TX
2088P0231X
Pediatric Urology Physician
Primary
Q8958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3592396-01
—
TX
05
—
3592396-02
—
TX
Enumeration date
07/08/2008
Last updated
01/03/2017
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