Individual
DR. KESHAV MOHAN MENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2294
(817) 321-0404
Mailing address
1320 S UNIVERSITY DR STE 500, FORT WORTH, TX 76107-5732
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
82297
WI
2085R0202X
Diagnostic Radiology Physician
Primary
Q6770
TX
2085R0204X
Vascular & Interventional Radiology Physician
82297
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251889
—
WI
Enumeration date
04/22/2013
Last updated
05/22/2025
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