Individual
DR. DIPIKA MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CARDIOLOGY, ST LOUIS, MO 63104
(314) 577-5633
(314) 268-4141
Mailing address
10 PARK ROW W APT 331, PROVIDENCE, RI 02903-1172
(248) 631-6672
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57.024073
OH
2080P0202X
Pediatric Cardiology Physician
Primary
MD470052
PA
Other
Enumeration date
06/24/2014
Last updated
04/12/2022
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